Individual
DR. CHARLES S SHINAVER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6911 ANTIQUITY DR, CARMEL, IN 46033-3403
(317) 641-7794
(317) 641-7794
Mailing address
6911 ANTIQUITY DR, CARMEL, IN 46033-3403
(317) 641-7794
(317) 641-7794
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041158A
IN
Other
Enumeration date
11/20/2006
Last updated
04/22/2022
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