Dr Shannon Rae Kelley-poulos, PSYD - Counselor in Milwaukee, WI

Dr Shannon Rae Kelley-poulos, PSYD is a Counselor - Mental Health based in Milwaukee, Wisconsin. Dr Shannon Rae Kelley-poulos is licensed to practice in * (Not Available) (license number ) and her current practice location is 1216 N Prospect Ave, Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (414) 271-9791.

NPI number for Dr Shannon Rae Kelley-poulos is 1275742066 and her current mailing address is 1216 N Prospect Ave, Milwaukee, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275742066.

Contact Information

Dr Shannon Rae Kelley-poulos, PSYD
1216 N Prospect Ave,
Milwaukee, WI 53202-3014
(414) 271-9791
(414) 271-1299

Map and Direction


Healthcare Provider's Profile

Full NameDr Shannon Rae Kelley-poulos
GenderFemale
SpecialityCounselor - Mental Health
Location1216 N Prospect Ave, Milwaukee, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275742066
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Shannon Rae Kelley-poulos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275742066NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shannon Rae Kelley-poulos is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Shannon Rae Kelley-poulos, PSYD
1216 N Prospect Ave,
Milwaukee, WI 53202-3014

Ph: (414) 271-9791
Dr Shannon Rae Kelley-poulos, PSYD
1216 N Prospect Ave,
Milwaukee, WI 53202-3014

Ph: (414) 271-9791

Reviews and Comments


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