Shively, Patricia Diane
Shively, Patricia Diane is an sole proprietor health care provider with primary practice located at 150 Buck Ridge Drive , Drums PA 18222. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Shively, Patricia Diane can be contacted via phone (570) 788-6644.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SL005344L | Pennsylvania |
Profile Details
| NPI number | 1629382361 |
|---|---|
| LBN Legal business name | Shively, Patricia Diane |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2010 |
| Last updated | Aug 5th, 2010 - about 15 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 | 1629382361 | NPPES |
| Pennsylvania | Other | SL005344L | LICENSE |
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