Shaver, Melinda Anne
Shaver, Melinda Anne is an sole proprietor health care provider with primary practice located at 201 N Penn Ave Suite 507, Independence KS 67301-3357. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Shaver, Melinda Anne can be contacted via phone (620) 926-1286.Contact Information
Primary practice address
201 N Penn Ave Suite 507
Independence KS 67301-3357
Phone: (620) 926-1286
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 962 | Oklahoma |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 2326 | Kansas |
Profile Details
| NPI number | 1427061209 |
|---|---|
| LBN Legal business name | Shaver, Melinda Anne |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Mar 2nd, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427061209 | NPPES |
| Kansas | MEDICAID | 201124310 |
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