Individual
DR. ROYACE ANN SHIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1571 WSC, BRIGHAM YOUNG UNIVERSITY, PROVO, UT 84602
(801) 422-3035
(801) 422-0173
Mailing address
1571 WSC, BRIGHAM YOUNG UNIVERSITY, PROVO, UT 84602
(801) 422-3035
(801) 422-0173
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
117606-2501
UT
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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