Individual
DR. STEPHANIE LYNNE SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., M.A.
Contact information
Practice address
12301 WHITEWATER DR STE 101, MINNETONKA, MN 55343-4157
(952) 999-6097
(952) 426-0508
Mailing address
15301 CROWN DR, MINNETONKA, MN 55345-3612
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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