Individual
DR. KELLEY SHAWN PEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2495 SHREVEPORT HWY # 71, PINEVILLE, LA 71360-4044
(318) 466-2672
Mailing address
4603 WAVERLY BLVD, ALEXANDRIA, LA 71303-2604
(318) 623-9010
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
783
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1674770
—
LA
Enumeration date
11/15/2007
Last updated
09/12/2023
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