Individual
MR. JUSTIN MATTHEW SHEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MSW, PSY.D. LCSW
Contact information
Practice address
188 S MILLEDGE AVE, SUITE 1, ATHENS, GA 30605-5661
(706) 424-5888
(678) 302-0196
Mailing address
188 S MILLEDGE AVE, SUITE 1, ATHENS, GA 30605-5661
(706) 424-5888
(678) 302-0196
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003451
GA
1041C0700X
Clinical Social Worker
CSW003860
GA
1041C0700X
Clinical Social Worker
LCSW570
CO
1041C0700X
Clinical Social Worker
SW 7207
FL
Other
Enumeration date
02/02/2007
Last updated
04/06/2011
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