Individual provider · Type 1 NPI

Shannon Kelly, PSY.D.

Health Service Psychologist · Winter Park, FL

NPI number 1457313330 Active

Practice location

6001 Brick Ct, Suite 201
Winter Park, FL 32792-9425

Fax (407) 671-1233

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100XPY7017 (FL)

Health Service Psychologist: 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).

7 other providers at this address

About NPI 1457313330

Shannon Kelly, PSY.D.'s National Provider Identifier is 1457313330, issued on Apr 5, 2006. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Winter Park, FL. The record was last updated on Jul 8, 2007.