MEDICARE: MR. LARRY M SHRIER M.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2808	FL

General Provider Information

NPI Number	:	1023131414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LARRY M SHRIER M.A.

Provider Business Mailing Address
First Line	:	7108 FAIRWAY DR
Second Line	:	SUITE 250
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3767
Country	:	US
Telephone Number	:	561-622-1771
Fax Number	:	561-284-8340

Provider Business Practice Location Address
First Line	:	7108 FAIRWAY DR
Second Line	:	SUITE 250
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3767
Country	:	US
Telephone Number	:	561-622-1771
Fax Number	:	561-284-8340

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	01/03/2017

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