Organization
DIANE SHELTON PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE SHELTON PSYD (CLINICAL PSYCHOLOGIST)
(203) 998-1900
Entity
Organization
Contact information
Practice address
179 POST RD W, SECOND FLOOR, WESTPORT, CT 06880-4602
(203) 998-1900
Mailing address
179 POST RD W, SECOND FLOOR, WESTPORT, CT 06880-4602
(203) 998-1900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3231
CT
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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