MR. Shayne Thomas Kelley
NPI #1063878130 in Thousand Oaks, California
Provider Information
- NPI Number
- 1063878130
- Entity Type
- Individual
- Name
- MR. Shayne Thomas Kelley
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jan 5, 2016
- Last Updated
- Apr 25, 2024
Practice Location
- Address
- 187 E WILBUR RD STE 14
- City
- Thousand Oaks
- State
- California
- ZIP Code
- 91360-7938
- Phone
- (818) 253-4150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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