Individual
ASHLEY MARIE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
110 MAIN ST STE 1300, SACO, ME 04072-3516
(813) 575-3454
Mailing address
110 MAIN ST STE 1300, SACO, ME 04072-3516
(813) 575-3454
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS2511
ME
103TC0700X
Clinical Psychologist
PY10560
FL
Other
Enumeration date
05/17/2016
Last updated
06/23/2023
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