Search › Ohio › Intellectual & Developmental Disabilities Psychologist
Randall Shively, PH.D, LICDC
NPI 1235608084 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2100 Stella Ct
Columbus, OH 43215 - Phone
- (614) 252-8402
- Fax
- (614) 252-5326
- Organisation at this address
- Alvis Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- Intellectual & Developmental Disabilities Psychologist
103TM1800X
- Also registered as
- Addiction (Substance Use Disorder) Counselor
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-25
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio