Shaw, Jeffrey Allen

Shaw, Jeffrey Allen is an individual health care provider with primary practice located at 12303 Ne 130Th Ln Sutie 325, Kirkland WA 98034-3099. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Shaw, Jeffrey Allen can be contacted via phone (425) 899-3140.

Contact Information

Primary practice address
12303 Ne 130Th Ln Sutie 325 Kirkland WA 98034-3099
Phone: (425) 899-3140
Fax: (425) 899-3131
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY00002441 Washington
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PY00002441 Washington
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X PY00002441 Washington
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY00002441 Washington

Profile Details

NPI number 1316099435
LBN Legal business name Shaw, Jeffrey Allen
Credentials PSY. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Oct 14th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316099435 NPPES
Washington MEDICAID 8372013

Popular Providers