Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Susan Shively, MD

Individual provider Psychoanalyst · NPI 1912119843

Dr. Susan Shively, MD is a Psychoanalyst in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

255 S 17th St Ste 2710
Philadelphia, PA 19103-6231
Phone: (215) 735-1554
Fax: (215) 732-5402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychoanalyst (primary) Taxonomy 102L00000X · Licence MD019586E (PA)

Record details

NPI number1912119843
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 4, 2007
Last updated in NPPESJuly 8, 2007

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