Individual
SHELBY NOELLE ORTIZ
Active
Individual
SHELBY NOELLE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301019576
MI
103TH0004X
Health Psychologist
Primary
6301019576
MI
Other
Enumeration date
11/18/2024
Last updated
02/14/2025
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