Gewirtz, Shawn

Gewirtz, Shawn is an sole proprietor health care provider with primary practice located at 500 Old Lynchburg Rd , Charlottesville VA 22903-6500. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Gewirtz, Shawn can be contacted via phone (434) 972-1737.

Contact Information

Primary practice address
500 Old Lynchburg Rd Charlottesville VA 22903-6500
Phone: (434) 972-1737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810004435 Virginia
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 0810004435 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810004435 Virginia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 0810004435 Virginia
Behavioral Health & Social Service Providers / Family 103TF0000X 0810004435 Virginia
Behavioral Health & Social Service Providers / School 103TS0200X 0810004435 Virginia

Profile Details

NPI number 1043508054
LBN Legal business name Gewirtz, Shawn
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2011
Last updated Jul 12th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043508054 NPPES
Virginia MEDICAID 1942270699

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