SHELLEY ANNE DEAN OTD OTR/L NPI 1659317162

NPI Information

NPI: 1659317162
Provider Name: SHELLEY ANNE DEAN, OTD, OTR/L
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
9129 MONROE RD
SUITE 100-105
CHARLOTTE, NC
ZIP 28270
Phone: (704) 847-3911
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Shelley Anne Dean, OTD, OTR/L is a specialist in Charlotte, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Shelley Anne Dean, OTD, OTR/L NPI is 1659317162. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9129 MONROE RD
SUITE 100-105
CHARLOTTE, NC
ZIP 28270-429
Phone: (704) 847-3911
Fax: (704) 847-2033

The enumeration date for this NPI number is 6/22/2006 and was last updated on 2/22/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	103K00000X	Behavior Analyst			No
2	103T00000X	Psychologist			No
3	174400000X	Specialist	2890 OT	SOUTH CAROLINA	No
4	174400000X	Specialist	4306 OTR/L	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7301435	MEDICAID	NORTH CAROLINA
2	B0333	OTHER	NORTH CAROLINA	MEDCOST
3	138EE	OTHER	NORTH CAROLINA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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