| Melinda Shaver, Psy.d. | |
|
315 N College Ave Tahlequah OK 74464-2703 | |
| (918) 457-8100 | |
| Not Available |
| Full Name | Melinda Shaver, Psy.d. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 315 N College Ave, Tahlequah, Oklahoma |
| Authorized Official Name and Position | Melinda Anne Shaver (PSYCHOLOGIST) |
| Authorized Official Contact | 9184578100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda Shaver, Psy.d. 16460 N Woodland Hills Ln Hulbert OK 74441-2247 Ph: (918) 457-8100 | Melinda Shaver, Psy.d. 315 N College Ave Tahlequah OK 74464-2703 Ph: (918) 457-8100 |
| NPI Number | 1417244179 |
|---|---|
| Provider Enumeration Date | 07/01/2011 |
| Last Update Date | 07/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417244179 | NPI | - | NPPES |
| 1427061209 | Other | INDIVIDUAL NPI | |
| 200092020A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 103TC0700X (Oklahoma) | Primary |
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