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NPI Code Detail

MEDICARE: DR. MERI L. SHADLEY PH.D.

MEDICARE: DR. MERI L. SHADLEY PH.D.
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
1106H00000XMarriage & Family Therapist0076NV

General Provider Information

NPI Number : 1962549857
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MERI L. SHADLEY PH.D.
Provider Business Mailing Address
First Line : 1005 FOREST ST
Second Line :
City : RENO
State : NV
Zip : 89509-2706
Country : US
Telephone Number : 775-329-4582
Fax Number : 775-329-9943
Provider Business Practice Location Address
First Line : 1005 FOREST ST
Second Line :
City : RENO
State : NV
Zip : 89509-2706
Country : US
Telephone Number : 775-329-4582
Fax Number : 775-329-9943
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 03/11/2026

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Directions to “ DR. MERI L. SHADLEY PH.D.” Practice Location

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