Shaw, Timothy S

Shaw, Timothy S is an sole proprietor health care provider with primary practice located at 136 Julia St Unit 100 , New Smyrna Beach FL 32168-7713. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Shaw, Timothy S can be contacted via phone (386) 423-9161.

Contact Information

Primary practice address
136 Julia St Unit 100 New Smyrna Beach FL 32168-7713
Phone: (386) 423-9161
Fax: (386) 423-3094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PY2148 Florida

Profile Details

NPI number 1811959331
LBN Legal business name Shaw, Timothy S
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Jul 1st, 2020 - about 6 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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