Individual
ASHTON BRIAUNA SHELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
413 BROADWAY ST STE A, PADUCAH, KY 42001-0738
(618) 727-1913
Mailing address
4115 LANIE DR, KEVIL, KY 42053-9327
(618) 727-1913
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
243869
KY
103T00000X
Psychologist
—
—
Other
Enumeration date
06/10/2020
Last updated
02/21/2023
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