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Dr. Shannon Kelly, PSYD
Health Service Psychologist in Winter Park, Florida
NPI 1457313330

Shannon Kelly is a Health Service Psychologist based in Winter Park, FL and is specialized in Health Service. Shannon Kelly practices in Winter Park, FL and has the professional credentials of PSYD. The NPI Number for Shannon Kelly is 1457313330 and holds a License No. PY7017 (Florida).

The current practice location address for Shannon Kelly is 6001 Brick Ct, Winter Park, FL and can be reached out via phone at 407-671-1123 and via fax at 407-671-1233.

Location: 6001 Brick Ct, Winter Park, FL, 32792-9425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457313330
Provider Name
Shannon Kelly
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
6001 Brick Ct, Winter Park, FL, 32792-9425
Phone Number
407-671-1123
Fax Number
407-671-1233
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6001 Brick Ct
City
Winter Park
State
Florida
Zip
32792-9425
Phone Number
407-671-1123
Fax Number
407-671-1233
person
Provider Business Mailing Address Details
Address
6001 Brick Ct
City
Winter Park
State
Florida
Zip
32792-9425
Phone Number
407-671-1123
Fax Number
407-671-1233
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
PY7017 (Florida)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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