Shewell, Justin Matthew
Shewell, Justin Matthew is an individual health care provider with primary practice located at 188 S Milledge Ave Suite 1, Athens GA 30605-5661. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Shewell, Justin Matthew can be contacted via phone (706) 424-5888.Contact Information
Primary practice address
188 S Milledge Ave Suite 1
Athens GA 30605-5661
Phone: (706) 424-5888
Fax: (678) 302-0196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW570 | Colorado |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW 7207 | Florida |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY003451 | Georgia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW003860 | Georgia |
Profile Details
| NPI number | 1134267859 |
|---|---|
| LBN Legal business name | Shewell, Justin Matthew |
| Credentials | MS, MSW, PSY.D. LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Apr 6th, 2011 - 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.
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