Individual
DR. BETHANY ANN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
167 S STATE ST, SUITE 100, WESTERVILLE, OH 43081-2265
(614) 794-3138
(614) 794-3175
Mailing address
167 S STATE ST, SUITE 100, WESTERVILLE, OH 43081-2265
(614) 794-3138
(614) 794-3175
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5212
OH
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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