Hartzog, Shawn Keith
Hartzog, Shawn Keith is an individual health care provider with primary practice located at 154 Medical Park Loop , Sylva NC 28779-5271. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Hartzog, Shawn Keith can be contacted via phone (828) 319-1080.Contact Information
Primary practice address
154 Medical Park Loop
Sylva NC 28779-5271
Phone: (828) 319-1080
Fax: (828) 631-9280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2262 | North Carolina |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2262 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 2262 | North Carolina |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 2262 | North Carolina |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 2262 | North Carolina |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 2262 | North Carolina |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 2262 | North Carolina |
Profile Details
| NPI number | 1629104641 |
|---|---|
| LBN Legal business name | Hartzog, Shawn Keith |
| Credentials | LPA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Apr 19th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629104641 | NPPES |
| North Carolina | MEDICAID | 6107428 |
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