DR. Tracy Denise Shaw, PH.D.
NPI #1982727392 in Culver City, California
Provider Information
- NPI Number
- 1982727392
- Entity Type
- Individual
- Name
- DR. Tracy Denise Shaw, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Prescribing (Medical)
- Credential
- PH.D.
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5855 GREEN VALLEY CIR
- Address 2
- SUITE 109
- City
- Culver City
- State
- California
- ZIP Code
- 90230-6946
- Phone
- (310) 641-3600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Prescribing (Medical) — Prescribing (Medical) |
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