Mrs. Carolyn Nmn Shively
Mrs. Carolyn Nmn Shively is a Licensed Psychiatric Technician in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
2178 Johnson AveSan Luis Obispo, CA 93401-4535
Phone: (805) 781-4738
Fax: (805) 781-1232
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Specialties & licences
| Licensed Psychiatric Technician (primary) | Taxonomy 167G00000X · Licence 13693 (CA) |
|---|
Record details
| NPI number | 1518025725 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 4, 2006 |
| Last updated in NPPES | July 8, 2007 |
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