DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROGER ALLEN SHAW, LMFT

Active

ROGER ALLEN SHAW, LMFT is a Marriage & Family Therapist healthcare provider located in BLOOMINGTON, Illinois. NPI 1639373236 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · BLOOMINGTON, IL

Registration Details

NPI Number
1639373236
Provider Type
Individual
Gender
Male
NPI Issued
Jun 14, 2007 (19.12780778263 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL, 617011429
Browse IL providers · Browse ZIP 61701
Phone
3098203500
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in BLOOMINGTON, IL

Name Credential NPI
MARIELLEN GRIFFITH ED.D. 1720143456
JOSEPH D STRANO PH.D. 1073646964
STAN E. HUFF ED.D. 1346558954
EMILY J HOLCOMB LMFT 1598136053
BRITTANY MALAK LMFT 1508315219
KAYLEE MICHELE YATES 1881278323
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.