Provider Demographics
NPI:1013291996
Name:SHINER, NATALIE LYNN (MSW)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:LYNN
Last Name:SHINER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6928 JAMESTOWN MANOR DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-8303
Mailing Address - Country:US
Mailing Address - Phone:813-433-6441
Mailing Address - Fax:
Practice Address - Street 1:6928 JAMESTOWN MANOR DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-8303
Practice Address - Country:US
Practice Address - Phone:813-433-6441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health