Individual
MRS. RACHEL DAWNE SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., ITDS
Contact information
Practice address
346 NW COLQUITT WAY, LAKE CITY, FL 32055-4854
(386) 752-6217
Mailing address
346 NW COLQUITT WAY, LAKE CITY, FL 32055-4854
(386) 752-6217
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811863900
—
FL
Enumeration date
02/19/2007
Last updated
04/23/2008
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