Doctor Name: | WENDY L SHELTON |
NPI Number: | 1043525678 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 63771 |
Business Practice Address: | 315 W Mclain Dr Sherman, TX - 750922605 |
Business Phone Number: | 9039574841 |
Business Fax Number: | 9039573415 |
Mailing Address: | 315 W Mclain Dr, SHERMAN |
State: | TX |
Postal Code: | 750922605 |
Phone Number: | 9039574841 |
Fax Number: | 9039573415 |
NPI Enumeration Date: | 08/06/2010 |
NPI Last Update Date: | 08/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 63771 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |