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Individual

JEFFREY ALLEN SHAW

Active
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Individual

JEFFREY ALLEN SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY. D.

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY00002441
WA
103TA0700X
Adult Development & Aging Psychologist
PY00002441
WA
103TB0200X
Cognitive & Behavioral Psychologist
PY00002441
WA
103TC0700X
Clinical Psychologist
Primary
PY00002441
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8372013
WA
Enumeration date
01/17/2007
Last updated
10/14/2010
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