Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK M. SHAW, PH.D.
Active Sole ProprietorMARK M. SHAW, PH.D. is a Forensic Psychologist healthcare provider located in VACAVILLE, California. NPI 1154556918 is currently active in the NPPES registry. Verify at CMS.
Forensic Psychologist · VACAVILLE, CA
Registration Details
- NPI Number
- 1154556918
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2009 (17.25624167722 yrs)
- Last Updated
- May 22, 2009
- License
-
PSY 15079 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1600 CALIFORNIA DRVACAVILLE, CA, 95687Browse CA providers · Browse ZIP 95687
- Phone
- 7074496504
- Fax
- 7074537047
- Primary Specialty
-
Forensic Psychologist
103TF0200X
Other Forensic Psychologist Providers in VACAVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM CLAY FOREMAN | PH.D. | 1467704197 |
| DR. VERONICA MICHELLE MCGRAW SIUTA | PHD | 1497191712 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.