Individual
DR. SHAUNA MARIE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
HIGHWAY 101 NORTH, CORRECTIONAL TRAINING FACILITY, SOLEDAD, CA 93960
(650) 302-6543
Mailing address
PO BOX 2084, SEASIDE, CA 93955-2084
(650) 302-6543
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
4454
NC
173000000X
Legal Medicine
Primary
PSY23931
CA
Other
Enumeration date
08/31/2007
Last updated
09/28/2015
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