Randall Kenneth Shively PH.D, LICDC

  • NPI 1235608084
According to our database, the NPI number for Randall Kenneth Shively PH.D, LICDC is 1235608084 and activated since 5 years ago. Randall Kenneth Shively PH.D, LICDC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 2100 Stella Ct, Columbus, OH 43215. You can also contact Randall Kenneth Shively PH.D, LICDC via telephone number is (614) 252-8402. Provider NPI information was last updated on 11/21/2018.

Recently Active NPIs

Overview of Randall Kenneth Shively PH.D, LICDC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/21/2018
  • Last updated: 11/21/2018

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 975850
  • License State: OH

Provider Mailing Address

  • Address: 2100 Stella Ct
    Columbus, OH 43215
  • Phone: 614-252-8402
  • Fax: 614-252-5326

Provider Practice Location

  • Address: 2100 Stella Ct
    Columbus, OH 43215
  • Phone: 614-252-8402
  • Fax: 614-252-5326

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 975850
  • License State: OH
  • Switch: No

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Randall Kenneth Shively PH.D, LICDC?
  • A: The npi number for Randall Kenneth Shively PH.D, LICDC is 1235608084.
  • Q: What are Randall Kenneth Shively PH.D, LICDC's specialties?
  • A: Randall Kenneth Shively PH.D, LICDC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Randall Kenneth Shively PH.D, LICDC?
  • A: The medical license number for Randall Kenneth Shively PH.D, LICDC is 975850 and issued in OH in USA.
  • Q: Where is Randall Kenneth Shively PH.D, LICDC practice location?
  • A: Randall Kenneth Shively PH.D, LICDC is practicing at 2100 Stella Ct, Columbus, OH 43215.
  • Q: How to contact Randall Kenneth Shively PH.D, LICDC?
  • A: You can contact Randall Kenneth Shively PH.D, LICDC via 614-252-8402.