Individual
JONATHAN J SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7219 N LITCHFIELD RD, GLENDALE, AZ 85309
(623) 856-7579
Mailing address
8232 W SAN JUAN AVE, GLENDALE, AZ 85303-5172
(238) 567-5796
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4362
AZ
Other
Enumeration date
01/29/2013
Last updated
07/21/2023
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