Shively, Susan

Shively, Susan is an sole proprietor health care provider with primary practice located at 255 S 17Th St Suite 2710, Philadelphia PA 19103-6231. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as her primary health care specialty. Shively, Susan can be contacted via phone (215) 735-1554.

Contact Information

Primary practice address
255 S 17Th St Suite 2710 Philadelphia PA 19103-6231
Phone: (215) 735-1554
Fax: (215) 732-5402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X MD019586E Pennsylvania

Profile Details

NPI number 1912119843
LBN Legal business name Shively, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2007
Last updated Jul 8th, 2007 - about 17 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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