Individual
BEVERLY L. SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
1722 WESTWOOD BLVD, STE 103, LOS ANGELES, CA 90024-5637
(310) 470-2247
(310) 470-4606
Mailing address
1768 GLENDON AVE, #1, LOS ANGELES, CA 90024-5740
(310) 470-9422
(310) 470-4606
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MFC209661
CA
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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