Doctor Name: | RICHARD A SHAW |
NPI Number: | 1891911301 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | 00044 |
Business Practice Address: | 520 Talbott St Suite 3 Iowa Falls, IA - 501262379 |
Business Phone Number: | 6416486491 |
Business Fax Number: | 6416487088 |
Mailing Address: | 520 Talbott St, Suite 3 IOWA FALLS |
State: | IA |
Postal Code: | 501262379 |
Phone Number: | 6416486491 |
Fax Number: | 6416487088 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 00044 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |