Provider Demographics
NPI:1023498342
Name:CARVER, KELLYE SCHIFFNER
Entity type:Individual
Prefix:
First Name:KELLYE
Middle Name:SCHIFFNER
Last Name:CARVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KELLYE
Other - Middle Name:DIANE
Other - Last Name:SCHIFFNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:MU DEPARTMENT OF PSYCHOLOGY
Mailing Address - Street 2:604 N. 16TH ST., CRAMER HALL, ROOM 317
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53233
Mailing Address - Country:US
Mailing Address - Phone:414-288-3643
Mailing Address - Fax:
Practice Address - Street 1:MU DEPARTMENT OF PSYCHOLOGY
Practice Address - Street 2:604 N. 16TH ST., CRAMER HALL, ROOM 317
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53233
Practice Address - Country:US
Practice Address - Phone:414-288-3643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-02
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5103-57103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist