Provider Demographics
NPI:1386136968
Name:SAULNIER, SHELBY JAYNE (PHD)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:JAYNE
Last Name:SAULNIER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 UNIVERSITY ESTATES BLVD APT 206
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-8095
Mailing Address - Country:US
Mailing Address - Phone:248-881-5358
Mailing Address - Fax:
Practice Address - Street 1:3001 PLYMOUTH RD STE 105
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-3205
Practice Address - Country:US
Practice Address - Phone:734-997-5033
Practice Address - Fax:844-855-5210
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-31
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301019145103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical