Bethany Ann Shaw is a Clinical in Westerville, Ohio. Bethany Ann Shaw practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bethany Ann Shaw is 1154489276. The last update date is 2007-07-08.
Bethany Ann Shaw's current location address is 167 S State St, Westerville, Ohio. You can contact this provider via phone number 6147943138 and fax number 6147943175. The mailing address for Bethany Ann Shaw is 167 S State St, Westerville, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bethany Ann Shaw |
|---|---|
| Address | 167 S State St, Westerville, Ohio |
| Phone Number | 6147943138 |
| Fax Number | 6147943175 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1154489276 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 167 S State St |
|---|---|
| City | Westerville |
| State | Ohio (OH) |
| Post Code | 430812265 |
| Phone Number | 6147943138 |
| Fax Number | 6147943175 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 5212 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Bethany Ann Shaw's 1154489276?
The Bethany Ann Shaw's NPI (National Provider Identifier) Number is 1154489276. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Bethany Ann Shaw is physically located?
The Bethany Ann Shaw is physically situated at the following address: 167 S State St, Westerville, OH, 430812265.
What is the Bethany Ann Shaw's specialty and taxonomy code?
The Bethany Ann Shaw's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When was the Bethany Ann Shaw's 1154489276 issued?
The Bethany Ann Shaw's 1154489276 was issued on 2006-12-04.
When was the Bethany Ann Shaw's information last updated?
The Bethany Ann Shaw's information was last updated on 2007-07-08.