Lisamarie Shelton, Psychologist
Psychologist, Group Psychotherapy in Fontana, CA. Individual provider (NPI-1).
NPI number1386977445
StatusActive
Last updated in NPPESNov 30, 2021
Details
- NPI
- 1386977445
- Entity type
- Individual (NPI-1)
- Name
- Lisamarie Shelton
- Credential
- Psychologist
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2009
- Last updated
- Nov 30, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TP2701X | Psychologist, Group Psychotherapy | PSY17433 | CA | Yes |
Practice location
9961 Sierra AveFontana, CA 92335-6720
Phone 909-427-3910
Mailing address
9961 Sierra AveFontana, CA 92335-6720
Phone 909-427-3910
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