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Shannon Kelley, PMHNP, LCSW, CASAC

NPI 1902089238 · on the registry since 2007 · sole proprietor

Practice

Address
713 Harrison St
Syracuse, NY 13210
Phone
(315) 464-7655
Organisation at this address
Suny Upstate Medical University
Psychiatry Faculty Practice, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
1041C0700X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-02-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York