Individual
SHELVY HAYWOOD KEGLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
525 E 38TH ST, INDIANAPOLIS, IN 46205-2744
(317) 923-3930
(317) 923-2441
Mailing address
525 E 38TH ST, INDIANAPOLIS, IN 46205-2744
(317) 923-3930
(317) 923-2441
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
20040520A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000183364
ANTHEM
IN
05
—
100235970A
—
IN
Enumeration date
01/10/2007
Last updated
01/11/2021
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