Provider Demographics
NPI:1790822112
Name:SHELTON, PATRICIA (MA)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:SHELTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 SW 34TH AVE
Mailing Address - Street 2:BDG 200, SUITE 203
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7456
Mailing Address - Country:US
Mailing Address - Phone:352-624-2137
Mailing Address - Fax:352-624-2136
Practice Address - Street 1:3200 SW 34TH AVE
Practice Address - Street 2:BLDG 200, SUITE 203
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7456
Practice Address - Country:US
Practice Address - Phone:352-624-2137
Practice Address - Fax:352-624-2136
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health