| Doctor Name: | SHYNEA ANTHONY |
| NPI Number: | 1083015655 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | |
| Business Practice Address: | 12642 Adventure Dr Riverview, FL - 335797790 |
| Business Phone Number: | 8632720279 |
| Business Fax Number: | |
| Mailing Address: | 12642 Adventure Dr, RIVERVIEW |
| State: | FL |
| Postal Code: | 335797790 |
| Phone Number: | 8632720279 |
| Fax Number: | |
| NPI Enumeration Date: | 09/15/2014 |
| NPI Last Update Date: | 09/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |