Provider Demographics
NPI:1699267393
Name:ZAVALA-BARAJAS, SHELBY LISA (PSYD)
Entity type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:LISA
Last Name:ZAVALA-BARAJAS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MISS
Other - First Name:SHELBY
Other - Middle Name:LISA
Other - Last Name:ZAVALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:2600 STATE ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-2633
Mailing Address - Country:US
Mailing Address - Phone:469-860-9269
Mailing Address - Fax:
Practice Address - Street 1:2600 STATE ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-2633
Practice Address - Country:US
Practice Address - Phone:469-860-9269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program