Melinda Shaver, Psy.D.

LBN: Melinda Shaver, Psy.D.
Melinda Shaver, Psy.D. is an health care organization with primary practice located at 315 N College Ave , Tahlequah OK 74464-2703. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Melinda Shaver, Psy.D. can be contacted via phone (918) 457-8100, or through Shaver, Melinda Anne via phone (918) 457-8100.

Contact Information

Primary practice address
315 N College Ave Tahlequah OK 74464-2703
Phone: (918) 457-8100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shaver, Melinda Anne PSY.D.
Phone: (918) 457-8100

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 103TC0700X Oklahoma

Profile Details

NPI number 1417244179
LBN Legal business name Melinda Shaver, Psy.D.
DBA Doing business as
Authorized official Shaver, Melinda Anne PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2011
Last updated Jul 1st, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417244179 NPPES
Other 1427061209 INDIVIDUAL NPI
MEDICAID 200092020A INDIVIDUAL NPI

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