Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHELLY LYNNE PETERSON, PHD
Active Sole ProprietorDR. SHELLY LYNNE PETERSON, PHD is a Clinical Psychologist healthcare provider located in LEAWOOD, Kansas. NPI 1902159031 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · LEAWOOD, KS
Registration Details
- NPI Number
- 1902159031
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2012 (13.764375462437 yrs)
- Last Updated
- Mar 16, 2019
- Licenses
-
2112 (KS)TLP-2112 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11100 ASH ST STE 100LEAWOOD, KS, 662111700Browse KS providers · Browse ZIP 66211
- Phone
- 9137359007
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in LEAWOOD, KS
| Name | Credential | NPI |
|---|---|---|
| MR. LEONARD MICHAEL LITTLE | PHD | 1063495992 |
| DR. TRACY E OCHESTER | PSY.D. | 1639117575 |
| DR. DEBORAH LYNN CARLE | PH.D. | 1043254543 |
| MICHAEL K. HARTY | PH.D. | 1528176427 |
| DR. RODNEY E MCNEAL | LP | 1295836427 |
| MR. ARTHUR LYNN DURBIN | L.C.P. | 1912166042 |
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.