Organization
INSIGHT PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN SHAW PSY.D. (MEMBER)
(540) 419-2215
Entity
Organization
Contact information
Practice address
2124 JEFFERSON DAVIS HWY, SUITE 102, STAFFORD, VA 22554-7264
(540) 419-2215
Mailing address
2124 JEFFERSON DAVIS HWY, SUITE 102, STAFFORD, VA 22554-7264
(540) 419-2215
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004335
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629378476
—
VA
Enumeration date
07/25/2014
Last updated
07/25/2014
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