Dean, Shelley Anne

Dean, Shelley Anne is an sole proprietor health care provider with primary practice located at 9129 Monroe Rd Suite 100-105, Charlotte NC 28270-2429. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Dean, Shelley Anne can be contacted via phone (704) 847-3911.

Contact Information

Primary practice address
9129 Monroe Rd Suite 100-105 Charlotte NC 28270-2429
Phone: (704) 847-3911
Fax: (704) 847-2033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Other Service Providers / Specialist 174400000X 2890 OT South Carolina
Other Service Providers / Specialist 174400000X 4306 OTR/L North Carolina

Profile Details

NPI number 1659317162
LBN Legal business name Dean, Shelley Anne
Credentials OTD, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Feb 22nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659317162 NPPES
North Carolina MEDICAID 7301435
North Carolina Other B0333
North Carolina Other 138EE

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