Randall Kenneth Shively, PH.D, LICDC
NPI #1235608084 in Columbus, Ohio
Provider Information
- NPI Number
- 1235608084
- Entity Type
- Individual
- Name
- Randall Kenneth Shively, PH.D, LICDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Intellectual & Developmental Disabilities
- Credential
- PH.D, LICDC
- Enumeration Date
- Nov 21, 2018
- Last Updated
- Apr 25, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities |
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