Mark S Shively, LSPE - Psychologist in Chattanooga, TN

Mark S Shively, LSPE is a Psychologist based in Chattanooga, Tennessee. Mark S Shively is licensed to practice in Tennessee (license number PE1594) and his current practice location is 515 Tremont St, Chattanooga, Tennessee. He can be reached at his office (for appointments etc.) via phone at (423) 267-2134.

NPI number for Mark S Shively is 1568518348 and his current mailing address is 515 Tremont St, Chattanooga, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568518348.

Contact Information

Mark S Shively, LSPE
515 Tremont St,
Chattanooga, TN 37405-4152
(423) 267-2134
(423) 267-2146

Map and Direction




Healthcare Provider's Profile

Full NameMark S Shively
GenderMale
SpecialityPsychologist
Location515 Tremont St, Chattanooga, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568518348
  • Provider Enumeration Date: 01/26/2007
  • Last Update Date: 06/30/2015

Medical Identifiers

Medical identifiers for Mark S Shively such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568518348NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PE1594 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark S Shively is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark S Shively, LSPE
515 Tremont St,
Chattanooga, TN 37405-4152

Ph: (423) 267-2134
Mark S Shively, LSPE
515 Tremont St,
Chattanooga, TN 37405-4152

Ph: (423) 267-2134

Reviews and Comments


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