Individual
DR. ANN CAROLINE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
301 CAMPMEETING RD, SEWICKLEY, PA 15143-8773
(412) 741-1800
(412) 741-0855
Mailing address
202 THORNBERRY CT, MARS, PA 16046-7150
(724) 772-5529
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005327L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1678958
BLUE CROSS INDIVIDUAL
PA
Enumeration date
11/20/2006
Last updated
07/08/2007
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