Organization
DR. SARAH SHELTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH SHELTON PSY.D. (OWNER)
(270) 442-0834
Entity
Organization
Contact information
Practice address
1700 KENTUCKY AVE, SUITE 106, PADUCAH, KY 42003-7705
(270) 442-0834
Mailing address
1700 KENTUCKY AVE, SUITE 106, PADUCAH, KY 42003-7705
(270) 442-0834
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1477
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11772384
CAQH
GA
Enumeration date
07/02/2008
Last updated
07/02/2008
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