Organization
DR PARVONAE SHAW P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARVONAE SHAW PSY.D. (PRESIDENT/PSYCHOLOGIST)
(954) 205-4369
Entity
Organization
Contact information
Practice address
840 AZALEA CT, PLANTATION, FL 33317-1202
(954) 205-4369
Mailing address
840 AZALEA CT, PLANTATION, FL 33317-1202
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7580
FL
Other
Enumeration date
08/11/2008
Last updated
01/20/2010
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