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Individual

DR. MICHELE LINDEN SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D.

Contact information

Practice address
5955 LAKE VISTA DR, BONSALL, CA 92003-6104
(760) 472-3950
Mailing address
5256 SOUTH MISSION ROAD, SUITE 703-807, BONSALL, CA 92003-6104
(760) 472-3950
(760) 472-3949

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY10658
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
CA

Other

Enumeration date
03/26/2008
Last updated
05/24/2016
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