Individual provider · Type 1 NPI
Mattie Lynn Shaw, MS
Mental Health Counselor · Tampa, FL
NPI number
1376112342
Active
Practice location
5707 N 22nd St
Tampa, FL 33610-4350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1376112342
Mattie Lynn Shaw, MS's National Provider Identifier is 1376112342, issued on Jun 23, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on Jun 23, 2021.