Individual
LISAMARIE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
PSY17433
CA
Other
Enumeration date
09/08/2009
Last updated
11/30/2021
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