Individual
MRS. AMY SHIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1299 BEDFORD DR STE A, MELBOURNE, FL 32940-1900
(321) 259-1662
(321) 259-1223
Mailing address
1299 BEDFORD DR STE A, MELBOURNE, FL 32940-1900
(321) 259-1662
(321) 259-1223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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