Individual
HUNTLY ELBERTO SHELTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3840 HULEN ST, SUITE 105, FORT WORTH, TX 76107-7277
(817) 732-8561
(817) 732-8561
Mailing address
3840 HULEN ST, SUITE 105, FORT WORTH, TX 76107-7277
(817) 732-8561
(817) 732-8561
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4154
TX
103T00000X
Psychologist
Primary
12050
TX
Other
Enumeration date
12/01/2012
Last updated
12/01/2012
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