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Contact Information

DAVID A SHIVELY, MA LMHC
20903 70TH W
EDMONDS, WA98026
 Phone: 425-672-3333
 Fax: 425-712-0539
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for DAVID A SHIVELY · (Male)

NPI # 1023128022
Status Active
Credentials MA LMHC
Entity Individual
Enumeration date 08/30/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 020703LH00004767
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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