Individual provider · Type 1 NPI

Taci Shaw, MA.LDT

Specialist · Crofton, MD

NPI number 1609239417 Active

Practice location

2145 Priest Bridge Dr, Suite #4
Crofton, MD 21114-2477

Mailing address

2426 Vineyard Ln
Crofton, MD 21114-1114

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed
Speech-Language Pathologist 235Z00000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1609239417

Taci Shaw, MA.LDT's National Provider Identifier is 1609239417, issued on Mar 30, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Crofton, MD. The record was last updated on Mar 30, 2016.