| Doctor Name: | MS. DOROTHY ANN SHELLMAN |
| NPI Number: | 1003179441 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, NCC, CSOTP |
| License Number: | 0701004762 |
| Business Practice Address: | 798 Southpark Blvd Suite 32 Colonial Heights, VA - 238343615 |
| Business Phone Number: | 8045204600 |
| Business Fax Number: | 8045204054 |
| Mailing Address: | 4301 Canvasback Ct, PETERSBURG |
| State: | VA |
| Postal Code: | 238036829 |
| Phone Number: | 7577396369 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2012 |
| NPI Last Update Date: | 06/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0701004762 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |