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:
Health care specialties
| Specialty | Code | License # | 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 15 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 | 1043508054 | NPPES |
| Virginia | MEDICAID | 1942270699 |
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