| Doctor Name: | MR. ANDREW RYAN SHELLEY |
| NPI Number: | 1164605317 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 4335 |
| Business Practice Address: | 1400 Blackhorse Hill Rd Coatesville, PA - 193202040 |
| Business Phone Number: | 9374305460 |
| Business Fax Number: | |
| Mailing Address: | 1411 Allan Ln, WEST CHESTER |
| State: | PA |
| Postal Code: | 193805802 |
| Phone Number: | 9374305460 |
| Fax Number: | |
| NPI Enumeration Date: | 12/11/2007 |
| NPI Last Update Date: | 06/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 4335 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |