Individual
SHELLEY A JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
535 BARNHILL DR, RT 455C, INDIANAPOLIS, IN 46202-5112
(317) 278-6942
Mailing address
PO BOX 44994, INDIANAPOLIS, IN 46244-0994
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
200416175A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200318900
—
IN
Enumeration date
05/11/2006
Last updated
07/28/2025
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