Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stephanie Lynne Shively, PHD, MA

Individual provider Mental Health Counselor · NPI 1932936283

Dr. Stephanie Lynne Shively, PHD, MA is a Mental Health Counselor in Minnetonka, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

12301 Whitewater Dr Ste 101
Minnetonka, MN 55343-4157
Phone: (952) 999-6097
Fax: (952) 426-0508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1932936283
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , MA
Sole proprietorNo
NPI enumeratedSeptember 18, 2024
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 17, 2024

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