Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY SHANNON THORNE, PSYD
Active Sole ProprietorKELLY SHANNON THORNE, PSYD is a Exercise & Sports Psychologist healthcare provider located in SOUTH BURLINGTON, Vermont. NPI 1316621048 is currently active in the NPPES registry. Verify at CMS.
Exercise & Sports Psychologist · SOUTH BURLINGTON, VT
Registration Details
- NPI Number
- 1316621048
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 13, 2023 (3.1434402093579 yrs)
- Last Updated
- Jun 13, 2023
- License
-
048.0000847 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11 KNOLL CIRSOUTH BURLINGTON, VT, 054037639Browse VT providers · Browse ZIP 05403
- Phone
- 8027341388
- Primary Specialty
-
Exercise & Sports Psychologist
103TE1100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.