DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. SANDY SHAW PHD

MEDICARE: DR. SANDY SHAW PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPSY18351CA

General Provider Information

NPI Number : 1407093263
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDY SHAW PHD
Provider Business Mailing Address
First Line : 6540 LUSK BLVD STE C256
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-5795
Country : US
Telephone Number : 858-657-9117
Fax Number : 858-657-0251
Provider Business Practice Location Address
First Line : 6540 LUSK BLVD STE C256
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-5795
Country : US
Telephone Number : 858-657-9117
Fax Number : 858-657-0251
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2009
Last Update Date : 01/15/2009

Similar Medicare Providers

1265633689 — APPLIED INTERVENTIONS & METHODOLOGIES, INC.
Practice Location Address:
6540 LUSK BLVD STE C256
SAN DIEGO, CA
92121-5795
Practice Phone: 858-657-9117
Practice Fax:
1013205988 — MS. ASHLEY CAROLANNE ADAMS B.A., BCABA
Practice Location Address:
6540 LUSK BLVD STE C256
SAN DIEGO, CA
92121-5795
Practice Phone: 858-657-9117
Practice Fax: 858-657-0251
1487084091 — KATHRYN PETERSEN MA
Practice Location Address:
6540 LUSK BLVD STE C256
SAN DIEGO, CA
92121-5795
Practice Phone: 858-657-9117
Practice Fax:
1215471396 — BRIAN HOWLEY
Practice Location Address:
6540 LUSK BLVD STE C256
SAN DIEGO, CA
92121-5795
Practice Phone: 877-264-6747
Practice Fax: 877-539-7730
1508300534 — JUSTIN GRIGGS
Practice Location Address:
6540 LUSK BLVD STE C256
SAN DIEGO, CA
92121-5795
Practice Phone: 877-264-6747
Practice Fax: 877-539-7730
1497299424 — ALYSSA ROSE
Practice Location Address:
6540 LUSK BLVD STE C256
SAN DIEGO, CA
92121-5795
Practice Phone: 877-264-6747
Practice Fax: 877-539-7730

Directions to “ DR. SANDY SHAW PHD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.