Individual
DR. SHANNON KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6001 BRICK CT, SUITE 201, WINTER PARK, FL 32792-9425
(407) 671-1123
(407) 671-1233
Mailing address
6001 BRICK CT, SUITE 201, WINTER PARK, FL 32792-9425
(407) 671-1123
(407) 671-1233
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
PY7017
FL
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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