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NPI Code Detail

MEDICARE: SHELLEY LINDSEY M.ED

MEDICARE: SHELLEY LINDSEY M.ED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE 0003071OH

General Provider Information

NPI Number : 1558323279
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLEY LINDSEY M.ED
Provider Business Mailing Address
First Line : PO BOX 634167
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-0001
Country : US
Telephone Number : 513-891-1006
Fax Number : 513-793-1032
Provider Business Practice Location Address
First Line : 1490 UNIVERSITY BLVD
Second Line :
City : HAMILTON
State : OH
Zip : 45011-3305
Country : US
Telephone Number : 513-881-7189
Fax Number : 513-881-7188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 01/13/2010

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Directions to “ SHELLEY LINDSEY M.ED” Practice Location

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