Tracy Denise Shaw in Culver City - Prescribing (medical)

Tracy Denise Shaw - NPI 1982727392

Tracy Denise Shaw is a Prescribing (medical) in Culver City, California. Tracy Denise Shaw practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Tracy Denise Shaw is 1982727392. The last update date is 2007-07-08.

Tracy Denise Shaw's current location address is 5855 Green Valley Cir, Culver City, California. You can contact this provider via phone number 3106413600. The mailing address for Tracy Denise Shaw is 5855 Green Valley Cir, Culver City, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy Denise Shaw
Address 5855 Green Valley Cir, Culver City, California
Phone Number 3106413600
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1982727392
Provider Enumeration Date 2007-04-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5855 Green Valley Cir
City Culver City
State California (CA)
Post Code 902306946
Phone Number 3106413600
Fax Number

Provider's Primary Taxonomy Detail

Speciality Prescribing (medical)
Taxonomy 103Tp0016X
Licence No PSY 12548
Definition:
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis

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FAQs about Tracy Denise Shaw

What is the unique provider identifier assigned to Tracy Denise Shaw?

The Tracy Denise Shaw has been issued the NPI (National Provider Identifier) 1982727392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Tracy Denise Shaw is geographically located?

The Tracy Denise Shaw is physically situated at the following location: 5855 Green Valley Cir, Culver City, CA, 902306946.

What is Tracy Denise Shaw's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Tracy Denise Shaw is Prescribing (medical), and the corresponding taxonomy classification code for this specialized field is 103Tp0016X.

On what date did the Centers for Medicare & Medicaid Services issue the 1982727392 to Tracy Denise Shaw?

The Tracy Denise Shaw received its 1982727392 assignment from the Centers for Medicare & Medicaid Services on 2007-04-09.

As of what date were the details pertaining to Tracy Denise Shaw last refreshed?

The information related to the Tracy Denise Shaw, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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