Individual
SHELLEY ANNE DEAN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
9111 MONROE RD STE 100, CHARLOTTE, NC 28270-2460
(704) 847-3911
(704) 847-2033
Mailing address
9111 MONROE RD STE 100, CHARLOTTE, NC 28270-2460
(704) 847-3911
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
174400000X
Specialist
Primary
4306 OTR/L
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138EE
BCBS
NC
05
—
7301435
—
NC
01
—
B0333
MEDCOST
NC
Enumeration date
06/22/2006
Last updated
06/02/2025
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