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NPI Code Detail

MEDICARE: SYLVIA SHAY

MEDICARE:   SYLVIA  SHAY
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
1103TH0100XHealth Service Psychologist116571IA

General Provider Information

NPI Number : 1790115913
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYLVIA SHAY
Provider Business Mailing Address
First Line : 2213 2ND ST
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-1205
Country : US
Telephone Number : 319-688-3333
Fax Number :
Provider Business Practice Location Address
First Line : 2213 2ND ST
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-1205
Country : US
Telephone Number : 319-688-3333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2013
Last Update Date : 07/24/2024

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Directions to “ SYLVIA SHAY ” Practice Location

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