Individual
DOUGLAS LYNDE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2830 REAL ST, AUSTIN, TX 78722-1715
(512) 448-1840
Mailing address
2200 S PLEASANT VALLEY RD, SUITE 918, AUSTIN, TX 78741-4688
(512) 839-5155
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
37052
TX
Other
Enumeration date
02/29/2008
Last updated
08/02/2016
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