Individual
DR. MELINDA ANNE SHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
201 N PENN AVE, SUITE 507, INDEPENDENCE, KS 67301-3357
(620) 926-1286
Mailing address
1403 BIRDIE DR, INDEPENDENCE, KS 67301-1548
(620) 926-1286
(620) 577-2074
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2326
KS
103TC0700X
Clinical Psychologist
962
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201124310
—
KS
Enumeration date
08/14/2006
Last updated
03/02/2016
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