Most Relevant Information
Provider Data
| NPI Number: | 1003332644 |
| Provider Name: | BARRY LEE SHELTON |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/15/2017 |
| Last Updated: | 08/15/2017 |
Provider Practice Location
66 SILSBEE ST
LYNN
MA
019011414
Practice Location Phone/Fax
| Phone: | 7817764100 |
| Fax: |
Provider Mailing Location
66 SILSBEE ST
LYNN
MA
019011414
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |