Individual
MRS. MICHELLE ANN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2802 FLINTROCK TRCE STE 210, AUSTIN, TX 78738-1744
(512) 400-4186
Mailing address
2802 FLINTROCK TRCE STE 210, AUSTIN, TX 78738-1744
(512) 400-4186
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
108012
CA
106H00000X
Marriage & Family Therapist
Primary
203565
TX
Other
Enumeration date
05/15/2015
Last updated
12/09/2024
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