Individual
DR. SHALENE MICHELE KIRKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
810 N 6TH AVE, PHOENIX, AZ 85003-1318
(602) 284-7741
(480) 219-9685
Mailing address
PO BOX 94401, PHOENIX, AZ 85070-4401
(602) 284-7741
(480) 219-9685
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4075
AZ
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4075
AZ
103TA0700X
Adult Development & Aging Psychologist
4075
AZ
103TC0700X
Clinical Psychologist
4075
AZ
103TF0200X
Forensic Psychologist
Primary
4075
AZ
Other
Enumeration date
01/15/2010
Last updated
09/02/2010
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