Healthcare Provider Details

I. General information

NPI: 1245141209
Provider Name (Legal Business Name): SHAY INTEGRATION ASSOCIATES & HOLDINGS S I A H LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TOWNE CENTER BLVD STE #2500
FREDERICKSBURG VA
22407
US

IV. Provider business mailing address

10908 COURTHOUSE RD STE 102
FREDERICKSBURG VA
22408-8604
US

V. Phone/Fax

Practice location:
  • Phone: 540-645-2458
  • Fax:
Mailing address:
  • Phone: 540-645-2458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DVON MAURER
Title or Position: OWNER
Credential:
Phone: 540-645-2458