MARK S. SHIVELY

CHATTANOOGA, TN
NPI1568518348
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: TN  PE1594)
Enumeration Date2007-01-26
Last Update Date2015-06-30
Business Address
MARK S. SHIVELY LSPE
515 TREMONT ST
CHATTANOOGA, TN 37405-4152
Phone number: 423-267-2134
Mailing Address
MARK S. SHIVELY LSPE
515 TREMONT ST
CHATTANOOGA, TN 37405-4152
Phone number: 423-267-2134
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