Individual
LISA JOY SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
55 1ST PL NW, ISSAQUAH, WA 98027-3271
(425) 681-3760
(425) 392-2509
Mailing address
55 1ST PL NW, ISSAQUAH, WA 98027-3271
(425) 681-3760
(425) 392-2509
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00002400
WA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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