Individual
DR. CHARLOTTE MARIA SHANAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD; LP; HSP
Contact information
Practice address
3365 S 103RD ST, MILWAUKEE, WI 53227-4161
(414) 604-7500
Mailing address
24320 64TH PL, SALEM, WI 53168-9668
(262) 758-1438
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5246-57
WI
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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