Individual
DR. MARY VIRGINIA SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1501 16TH AVE S, NASHVILLE, TN 37212-2905
(615) 491-7952
Mailing address
2712 SUNSET PL, NASHVILLE, TN 37212-4818
(615) 279-6991
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0000002312
TN
103TB0200X
Cognitive & Behavioral Psychologist
0000002312
TN
103TC0700X
Clinical Psychologist
Primary
0000002312
TN
103TC2200X
Clinical Child & Adolescent Psychologist
0000002312
TN
Other
Enumeration date
10/23/2006
Last updated
07/21/2015
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