Shayne Kelly, MA, PsyD
Student in an Organized Health Care Education/Training Program in Chicago, IL. Individual provider (NPI-1).
NPI number1124906771
StatusActive
Last updated in NPPESAug 22, 2025
Details
- NPI
- 1124906771
- Entity type
- Individual (NPI-1)
- Name
- Shayne Kelly
- Credential
- MA, PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2025
- Certification date
- Aug 22, 2025
- Last updated
- Aug 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
400 E South Water St Apt 3201Chicago, IL 60601-4072
Phone 224-639-0167
Mailing address
400 E South Water St Apt 3201Chicago, IL 60601-4072
Phone 224-639-0167
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