| Doctor Name: | DR. DIANE RENE SHELTON |
| NPI Number: | 1114095668 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 3585 |
| Business Practice Address: | 179 Post Road West 2nd Floor Westport, CT - 06880 |
| Business Phone Number: | 2039981900 |
| Business Fax Number: | |
| Mailing Address: | 179 Post Road West, 2nd Floor WESTPORT |
| State: | CT |
| Postal Code: | 06880 |
| Phone Number: | 2039981900 |
| Fax Number: | |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 11/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3585 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |