Timothy S Shaw in New Smyrna Beach - Counseling
Timothy S Shaw - NPI 1811959331
Timothy S Shaw is a Counseling in New Smyrna Beach, Florida. Timothy S Shaw practices all healthcare services and medical treatments related to Counseling. The NPI Number for Timothy S Shaw is 1811959331. The last update date is 2020-07-01.
Timothy S Shaw's current location address is 136 Julia St Unit 100, New Smyrna Beach, Florida. You can contact this provider via phone number 3864239161 and fax number 3864233094. The mailing address for Timothy S Shaw is 136 Julia St Unit 100, New Smyrna Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy S Shaw |
|---|---|
| Address | 136 Julia St Unit 100, New Smyrna Beach, Florida |
| Phone Number | 3864239161 |
| Fax Number | 3864233094 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1811959331 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2020-07-01 |
Provider Mailing Address Detail
| Address | 136 Julia St Unit 100 |
|---|---|
| City | New Smyrna Beach |
| State | Florida (FL) |
| Post Code | 321687713 |
| Phone Number | 3864239161 |
| Fax Number | 3864233094 |
Provider's Primary Taxonomy Detail
| Speciality | Counseling |
|---|---|
| Taxonomy | 103Tc1900X |
| Licence No | PY2148 |
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Definition: A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c |
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What is the Timothy S Shaw's 1811959331?
The Timothy S Shaw's NPI (National Provider Identifier) Number is 1811959331. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Timothy S Shaw located?
The Timothy S Shaw is located at 136 Julia St Unit 100, New Smyrna Beach, FL 321687713.
What is the Timothy S Shaw's specialty and taxonomy code?
The Timothy S Shaw's specialty is Counseling, and the corresponding taxonomy code is 103Tc1900X.
On what date did the Timothy S Shaw receive its 1811959331 assignment from the Centers for Medicare & Medicaid Services?
The Timothy S Shaw was assigned its 1811959331 by the Centers for Medicare & Medicaid Services on 2006-04-03.
As of what date were the Timothy S Shaw's details last updated?
The information pertaining to the Timothy S Shaw, including its address, specialty, and other details, was most recently updated on 2020-07-01.