Elizabeth A. Shaw in Durham - Psychologist
Elizabeth A. Shaw - NPI 1720060627
Elizabeth A. Shaw is a Psychologist in Durham, North Carolina. Elizabeth A. Shaw practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Elizabeth A. Shaw is 1720060627. The last update date is 2011-11-16.
Elizabeth A. Shaw's current location address is 112 Swift Ave, Durham, North Carolina. You can contact this provider via phone number 9198242480 and fax number 9194161188. The mailing address for Elizabeth A. Shaw is 112 Swift Ave, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth A. Shaw |
|---|---|
| Address | 112 Swift Ave, Durham, North Carolina |
| Phone Number | 9198242480 |
| Fax Number | 9194161188 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1720060627 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2011-11-16 |
Provider Mailing Address Detail
| Address | 112 Swift Ave |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277054883 |
| Phone Number | 9198242480 |
| Fax Number | 9194161188 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1107 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4534 | NC | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Elizabeth A. Shaw by the Centers for Medicare & Medicaid Services?
The Elizabeth A. Shaw has been assigned the NPI (National Provider Identifier) 1720060627. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Elizabeth A. Shaw's facilities are geographically located?
The facilities of Elizabeth A. Shaw are physically situated at the following location: 112 Swift Ave, Durham, NC, 277054883.
What is Elizabeth A. Shaw's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elizabeth A. Shaw's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720060627 to Elizabeth A. Shaw?
The Centers for Medicare & Medicaid Services originally issued the 1720060627 to Elizabeth A. Shaw on 2005-11-16.
As of what date was the information pertaining to Elizabeth A. Shaw, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Elizabeth A. Shaw, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-11-16.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY