Andrea Shelley, Clinical & Forensic Psychology, A Professional Corpora
LBN: Andrea Shelley, Clinical & Forensic Psychology, A Professional Corpora
Andrea Shelley, Clinical & Forensic Psychology, A Professional Corpora is an health care organization with primary practice located at 1832 Centro West St , Tiburon CA 94920-1909. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Andrea Shelley, Clinical & Forensic Psychology, A Professional Corpora can be contacted via phone (415) 515-3211, or through Shelley, Andrea via phone (415) 515-3211.
Contact Information
Primary practice address
1832 Centro West St
Tiburon CA 94920-1909
Phone: (415) 515-3211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY20375 | California |
Profile Details
| NPI number | 1568851095 |
|---|---|
| LBN Legal business name | Andrea Shelley, Clinical & Forensic Psychology, A Professional Corpora |
| DBA Doing business as | |
| Authorized official | Shelley, Andrea PSY.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 21st, 2015 |
| Last updated | Jan 21st, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568851095 | NPPES |
| California | Other | HD866A | MEDICARE PART B |
| California | Other | 113038 | MEDICARE PART B |
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