Individual provider · Type 1 NPI

Stephanie Lynne Shively, PhD, M.A.

Mental Health Counselor · Minnetonka, MN

NPI number 1932936283 Active

Practice location

12301 Whitewater Dr Ste 101
Minnetonka, MN 55343-4157

Call (952) 999-6097 Map

Fax (952) 426-0508

Mailing address

15301 Crown Dr
Minnetonka, MN 55345-3612

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1932936283

Stephanie Lynne Shively, PhD, M.A.'s National Provider Identifier is 1932936283, issued on Sep 18, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minnetonka, MN. The record was last updated on Sep 18, 2024.