| Doctor Name: | DR. AMY ELIZABETH SHAVER |
| NPI Number: | 1023093762 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 71006936 |
| Business Practice Address: | 7140 N High St Suite 250 Worthington, OH - 430852330 |
| Business Phone Number: | 6145717614 |
| Business Fax Number: | 6144510537 |
| Mailing Address: | 7140 N High St, Suite 250 WORTHINGTON |
| State: | OH |
| Postal Code: | 430852330 |
| Phone Number: | 6145717614 |
| Fax Number: | 6144510537 |
| NPI Enumeration Date: | 12/14/2005 |
| NPI Last Update Date: | 08/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 71006936 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |