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Organization
LARRY E. SHYERS, PH.D., AND ASSOCIATES, INC
Active
Organization
LARRY E. SHYERS, PH.D., AND ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY EDWARD SHYERS PH.D. (CHAIRMAN)
(352) 383-2194
Entity
Organization
Contact information
Practice address
3750 LAKE CENTER LOOP, MOUNT DORA, FL 32757-2211
(352) 383-2194
(352) 383-2193
Mailing address
3750 LAKE CENTER LOOP, MOUNT DORA, FL 32757-2211
(352) 383-2194
(352) 383-2193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH 1054
FL
101YM0800X
Mental Health Counselor
MH 7151
FL
101YM0800X
Mental Health Counselor
Primary
MH 8094
FL
101YM0800X
Mental Health Counselor
MH 8889
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053098
VALUE OPTIONS
FL
01
—
X1457
BLUE CROSS BLUE SHIELD
FL
01
—
Z118S
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/20/2005
Last updated
08/22/2020
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