Individual provider · Type 1 NPI

Shayne Kelly, MA, PSYD

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1124906771 Active

Practice location

400 E South Water St Apt 3201
Chicago, IL 60601-4072

Call (224) 639-0167 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124906771

Shayne Kelly, MA, PSYD's National Provider Identifier is 1124906771, issued on Aug 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Aug 22, 2025.