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NPI Code Detail

MEDICARE: MR. SHAWN R ATCHLEY

MEDICARE:  MR. SHAWN R ATCHLEY
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
1101YM0800XMental Health CounselorI0010070OH

General Provider Information

NPI Number : 1760692305
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SHAWN R ATCHLEY
Provider Business Mailing Address
First Line : 999 LILA AVE
Second Line :
City : MILFORD
State : OH
Zip : 45150-1617
Country : US
Telephone Number : 513-831-1617
Fax Number :
Provider Business Practice Location Address
First Line : 4906 CHALET DR
Second Line : UNIT 5
City : CINCINNATI
State : OH
Zip : 45217-1457
Country : US
Telephone Number : 513-641-5815
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 03/08/2011

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Directions to “ MR. SHAWN R ATCHLEY ” Practice Location

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