Individual
DR. MIRANDA GRACE PERLEBERG SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4863 N NEVADA AVE STE 380, COLORADO SPRINGS, CO 80918-3951
(719) 255-8003
(719) 255-8075
Mailing address
4410 S BLISSFUL CIR, COLORADO SPRINGS, CO 80917-1534
(720) 891-6701
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0003845
CO
Other
Enumeration date
06/24/2008
Last updated
05/02/2021
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