Shentelle Marie Livan, LPA
NPI #1235958836 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1235958836
- Entity Type
- Individual
- Name
- Shentelle Marie Livan, LPA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist
- Credential
- LPA
- Enumeration Date
- Oct 9, 2024
- Last Updated
- Apr 18, 2025
Practice Location
- Address
- 1964 S MAIN ST
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-9336
- Phone
- (919) 554-0177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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