Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRACY DENISE SHAW, PH.D.
Active Sole ProprietorDR. TRACY DENISE SHAW, PH.D. is a Prescribing Psychologist healthcare provider located in CULVER CITY, California. NPI 1982727392 is currently active in the NPPES registry. Verify at CMS.
Prescribing Psychologist · CULVER CITY, CA
Registration Details
- NPI Number
- 1982727392
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2007 (19.162133072396 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PSY 12548 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5855 GREEN VALLEY CIRSUITE 109CULVER CITY, CA, 902306946Browse CA providers · Browse ZIP 90230
- Phone
- 3106413600
- Primary Specialty
-
Prescribing Psychologist
103TP0016X
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.