Individual
DR. CAROL ANN SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
5722 ST JOSEPH AVENUE, STEVENSVILLE, MI 49127
(269) 429-4148
(269) 429-6878
Mailing address
5722 ST JOSEPH AVENUE, STEVENSVILLE, MI 49127
(269) 429-4148
(269) 429-6878
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301006049
MI
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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