Shirley Joyce Vandiver, MED LPC
Individual provider Active NPI Professional Counselor · Ofallon, MO
NPI 1629186754 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629186754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 001418 (MO)
- Practice address
- 300 Fort Zumwalt Square
Suite 121
Ofallon, MO 63366-3078 - Phone
- (636) 240-3931
- Fax
- (636) 639-9312
- NPI assigned
- Aug 28, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001418 | MO | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001418 | MO | Yes |
Addresses
Primary practice location
300 Fort Zumwalt Square
Suite 121
Ofallon, MO 63366-3078
Mailing address
300 Fort Zumwalt Square
Suite 121
Ofallon, MO 63366-3078
Phone (636) 240-3931
Other names
- Shirley Joyce Curtis
Other providers in Ofallon, MO
- St Lukes Center for Diagnostic Imaging LLC
- George P. Stachecki
- Dipali D Thakker
- Total Access Urgent Care, PC
- Maryann L Udy
- Vital Chiropractic LLC
- Charles Andrew Walker
- Washeck Manual Therapy LLC
- Lori Ann Watt
- Aaron Welk
All providers in Ofallon, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.