Individual
ROSE MARY SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1525 XENIA AVE, YELLOW SPRINGS, OH 45387-1123
(937) 769-5019
(937) 769-5019
Mailing address
1525 XENIA AVE, YELLOW SPRINGS, OH 45387-1123
(937) 769-5019
(937) 769-5019
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6323
OH
Other
Enumeration date
05/08/2007
Last updated
12/04/2017
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