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NPI Profile for SHELIA B FAULKNER in FORT CAMPBELL, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Counseling |
103TC1900X | 62 | Psychologist, Clinical |
| NPI Number | 1699788455 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/14/2006 | |
| Last updated | 12/19/2023 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHELIA B FAULKNER
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SHELIA B FAULKNER