Shively, Mark S.

Shively, Mark S. is an individual health care provider with primary practice located at 515 Tremont St , Chattanooga TN 37405-4152. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Shively, Mark S. can be contacted via phone (423) 267-2134.

Contact Information

Primary practice address
515 Tremont St Chattanooga TN 37405-4152
Phone: (423) 267-2134
Fax: (423) 267-2146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PE1594 Tennessee

Profile Details

NPI number 1568518348
LBN Legal business name Shively, Mark S.
Credentials LSPE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jun 30th, 2015 - about 10 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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