Individual
ROBIN DOUGLAS SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCP
Contact information
Practice address
1333 FLOWING SPRINGS RD, ATKINS, VA 24311-2214
(252) 521-3154
Mailing address
1333 FLOWING SPRINGS RD, ATKINS, VA 24311-3096
(252) 521-3154
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005431
VA
Other
Enumeration date
03/21/2012
Last updated
08/16/2016
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