Shaw, Elizabeth A.

Shaw, Elizabeth A. is an sole proprietor health care provider with primary practice located at 112 Swift Ave , Durham NC 27705-4883. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Shaw, Elizabeth A. can be contacted via phone (919) 824-2480.

Contact Information

Primary practice address
112 Swift Ave Durham NC 27705-4883
Phone: (919) 824-2480
Fax: (919) 416-1188
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1107 North Carolina

Profile Details

NPI number 1720060627
LBN Legal business name Shaw, Elizabeth A.
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2005
Last updated Nov 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720060627 NPPES
North Carolina Other 04534 BLUE CROSS BLUE SHIELD

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