Individual
DR. BETH ANN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1155 N MAYFAIR RD FL 3, MILWAUKEE, WI 53226-3464
(414) 955-8900
(414) 955-6285
Mailing address
1155 N MAYFAIR RD FL 3, MILWAUKEE, WI 53226-3464
(414) 955-8900
(414) 955-6285
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2934-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174822399
—
WI
Enumeration date
03/28/2011
Last updated
07/15/2022
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