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Individual

DR. AMY ELIZABETH SHAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3601 GERSTNER MEMORIAL BLVD, HIGHWAY 14, LAKE CHARLES, LA 70607-3231
(337) 475-9500
Mailing address
709 HIGHLAND DR, COLUMBUS, OH 43214-3405
(614) 571-7614

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6328
OH
103TC0700X
Clinical Psychologist
71006936
IL

Other

Enumeration date
12/14/2005
Last updated
03/05/2024
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