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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 Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JEFFREY A SHAW · (Male)

NPI # 1316099435
Status Active
Credentials PSY. D.
Entity Individual
Enumeration date 01/17/2007
Last updated 10/14/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PY00002441
  • WA Medicaid 8372013
Hospital affiliation(s) Not Available
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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