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DR. SHELLY DENISE MINOR PH.D

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1891977435

Individual Registrant:
DR. SHELLY DENISE MINOR PH.D
Gender: F
Sole Proprietor

Location and contact information for practice:
6327 BETHEL ISLAND ROAD SUITE A BETHEL ISLAND, CA 94511-1011 US
Tel: 925-550-0540  Fax: 925-684-0348

Contact information for business:
6327 BETHEL ISLAND ROAD SUITE A  BETHEL ISLAND, CA 94511 US
Tel: 925-550-0540  Fax: 925-684-0348

Registration Information:
NPI: 1891977435
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
CA21477

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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