Individual provider · Type 1 NPI

Jennifer Shaw, M.A., PSY.D.

Student in an Organized Health Care Education/Training Program · Manassas, VA

NPI number 1710145461 Active

Practice location

9329 Battle St
Manassas, VA 20110-5101

Mailing address

9229 Portner Ave
Manassas, VA 20110-5046

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710145461

Jennifer Shaw, M.A., PSY.D.'s National Provider Identifier is 1710145461, issued on May 29, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Manassas, VA. The record was last updated on Jul 23, 2021.