Shelton, Vivian Allison
Shelton, Vivian Allison is an sole proprietor health care provider with primary practice located at 6723 Whittier Ave Suite 207, Mc Lean VA 22101-4522. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shelton, Vivian Allison can be contacted via phone (703) 475-6478.Contact Information
Primary practice address
6723 Whittier Ave Suite 207
Mc Lean VA 22101-4522
Phone: (703) 475-6478
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 8990 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810003370 | Virginia |
Profile Details
| NPI number | 1487892014 |
|---|---|
| LBN Legal business name | Shelton, Vivian Allison |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2009 |
| Last updated | May 16th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487892014 | NPPES |
| Massachusetts | Other | 1487892014 | TUFTS |
| Massachusetts | Other | 001065301 | TUFTS |
| Massachusetts | Other | 213380 | TUFTS |
| Massachusetts | Other | 1487892014 | TUFTS |
| Massachusetts | Other | 6901895/5887718 | TUFTS |
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