Individual
MS. MEREDITH ANNE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-1969
(774) 826-3159
Mailing address
20 COMMERCE WAY STE 10-343, SEEKONK, MA 02771-5823
(817) 366-2130
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36250
TX
Other
Enumeration date
09/10/2012
Last updated
07/13/2023
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