National Provider Identifier Database

JEFFREY A SHAW, PSY. D. – NPI #1316099435
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

JEFFREY A SHAW, PSY. D.
12303 NE 130TH LN
SUTIE 325
KIRKLAND, WA98034-3099
Phone: 425-899-3140
Fax: 425-899-3131
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Adult Development & Aging 103TA0700X
Clinical Neuropsychologist 103G00000X
Cognitive & Behavioral 103TB0200X

* Indicates primary specialty

NPI Profile & details for JEFFREY A SHAW

NPI Number 1316099435
Credentials PSY. D.
Entity Individual
Enumeration date 01/17/2007
Last updated 10/14/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • WA License #: PY00002441
  • WA Medicaid: 8372013
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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