Individual
RANDALL KENNETH SHIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D, LICDC
Contact information
Practice address
2100 STELLA CT, COLUMBUS, OH 43215-1011
(614) 252-8402
(614) 252-5326
Mailing address
2100 STELLA CT, COLUMBUS, OH 43215-1011
(614) 252-8402
(614) 252-5326
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
975850
OH
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
4374
OH
Other
Enumeration date
11/21/2018
Last updated
04/25/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us