Individual
DR. JOHN J SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
127 S BROADWAY, NYACK, NY 10960-4433
(845) 358-4591
(845) 358-4591
Mailing address
127 S BROADWAY, NYACK, NY 10960-4433
(845) 358-4591
(845) 358-4591
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
006099
NY
103TC0700X
Clinical Psychologist
6099
NY
Other
Enumeration date
12/11/2006
Last updated
03/31/2020
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