Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN SHEDIVY
ActiveJUSTIN SHEDIVY is a Counselor healthcare provider located in NEW BRIGHTON, Minnesota. NPI 1174807333 is currently active in the NPPES registry. Verify at CMS.
Counselor · NEW BRIGHTON, MN
Registration Details
- NPI Number
- 1174807333
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2011 (14.871206364006 yrs)
- Last Updated
- Oct 6, 2011
Practice Information
- Address
-
1900 SILVER LAKE RD NWSUITE 110NEW BRIGHTON, MN, 551121786Browse MN providers · Browse ZIP 55112
- Phone
- 6516289566
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in NEW BRIGHTON, MN
| Name | Credential | NPI |
|---|---|---|
| MARSHA DETTLOFF | — | 1912433087 |
| GLORIA BAFFOUR | — | 1366177172 |
| ETHAN BJORN ROE | — | 1134968175 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.