Organization
CONSTANCE SHELTREN, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANCE JEAN SHELTREN PH.D. (OWNER)
(775) 884-3600
Entity
Organization
Contact information
Practice address
623 W WASHINGTON ST, SUITE A, CARSON CITY, NV 89703-3802
(775) 884-3600
(775) 884-3601
Mailing address
623 W WASHINGTON ST, SUITE A, CARSON CITY, NV 89703-3802
(775) 884-3600
(775) 884-3601
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0568
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861618050
NPI
NV
05
—
1861618050
—
NV
Enumeration date
10/11/2012
Last updated
10/11/2012
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