Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN B SHAW, LCP
Active Sole ProprietorKEVIN B SHAW, LCP is a Clinical Psychologist healthcare provider located in OTTAWA, Kansas. NPI 1639193105 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · OTTAWA, KS
Registration Details
- NPI Number
- 1639193105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (20.013119561543 yrs)
- Last Updated
- Jul 2, 2024
- Licenses
-
137 (KS)065 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
109 W 2ND STOTTAWA, KS, 660672212Browse KS providers · Browse ZIP 66067
- Phone
- 7852422991
- Fax
- 7852424401
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in OTTAWA, KS
| Name | Credential | NPI |
|---|---|---|
| DANA RENE' PAQUETTE | LCP | 1194758946 |
| ANDREW LAWRENCE WHITMORE | LP | 1306916077 |
| CHARLES PATRICK GARRICK | LCP. LCAC, TTS | 1235346743 |
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.