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Individual
LYNDI ELIZABETH SHAW
Active
Individual
LYNDI ELIZABETH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PSB 94022177
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSB 94022177
CA
103TA0700X
Adult Development & Aging Psychologist
PSB 94022177
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSB 94022177
CA
103TC0700X
Clinical Psychologist
Primary
PSB 94022177
CA
103TC1900X
Counseling Psychologist
PSB 94022177
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSB 94022177
CA
103TF0000X
Family Psychologist
PSB 94022177
CA
103TP2701X
Group Psychotherapy Psychologist
PSB 94022177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSB 94022177
BOARD OF PSYCHOLOGY
CA
Enumeration date
04/19/2016
Last updated
04/19/2016
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