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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316099435 | NPPES |
| Washington | MEDICAID | 8372013 |
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