Individual
DR. BILLY WAYNE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
514 E COMMERCE ST, JACKSONVILLE, TX 75766-4910
(903) 586-7765
Mailing address
PO BOX 940, JACKSONVILLE, TX 75766-0940
(903) 586-7765
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2-2157
TX
Other
Enumeration date
05/21/2007
Last updated
06/06/2010
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