Individual
MRS. ALISON SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1740 E 17TH ST, IDAHO FALLS, ID 83404-6375
(208) 524-1278
Mailing address
551 S 5TH W, APT. #5, REXBURG, ID 83440-2334
(208) 852-6288
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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