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Individual

DR. TIMOTHY S SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
136 JULIA ST UNIT 100, NEW SMYRNA BEACH, FL 32168-7713
(386) 423-9161
(386) 423-3094
Mailing address
136 JULIA ST UNIT 100, NEW SMYRNA BEACH, FL 32168-7713
(386) 423-9161
(386) 423-3094

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY2148
FL

Other

Enumeration date
04/03/2006
Last updated
07/01/2020
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