Individual
DR. DAVID BRIAN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
611 IRONWOOD DR, YORKTOWN, VA 23693-5560
(757) 788-9141
Mailing address
5007C VICTORY BLVD # 387, YORKTOWN, VA 23693-5601
(757) 788-9141
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810004175
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810004175
CLINICAL PSYCHOLOGIST LICENSE
VA
Enumeration date
07/21/2005
Last updated
12/14/2021
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