Individual
SHANNON KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 410, ALLENTOWN, PA 18103-6224
(610) 402-3500
(610) 402-3505
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018289
PA
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
PS018289
PA
Other
Enumeration date
06/04/2010
Last updated
03/22/2024
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