Individual
CAROL SHRIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3025 W OAKHAVEN LN, SPRINGFIELD, MO 65810-1948
(417) 844-3768
Mailing address
4319 S NATIONAL AVE STE 201, SPRINGFIELD, MO 65810-2607
(417) 844-3768
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
R0521
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498161744
—
MO
Enumeration date
02/07/2007
Last updated
11/06/2023
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