Healthcare Provider Details

I. General information

NPI: 1598868721
Provider Name (Legal Business Name): SHALEM INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 08/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

881 HIGH ST SUITE 206
WORTHINGTON OH
43085-4109
US

IV. Provider business mailing address

881 HIGH ST SUITE 206
WORTHINGTON OH
43085-4109
US

V. Phone/Fax

Practice location:
  • Phone: 614-441-9773
  • Fax: 209-755-5766
Mailing address:
  • Phone: 614-441-9773
  • Fax: 209-755-5766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License NumberN/A
License Number StateOH

VIII. Authorized Official

Name: DR. ELIZABETH ANNE REED
Title or Position: EXECUTIVE DIRECTOR
Credential: PH.D.
Phone: 614-441-9773