MARK M. SHAW

VACAVILLE, CA
NPI1154556918
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TF0200X Psychologist, Forensic
(Licence: CA  PSY 15079)
Enumeration Date2009-05-22
Last Update Date2009-05-22
Business Address
-- MARK M. SHAW Ph.D.
1600 CALIFORNIA DR
VACAVILLE, CA 95687
Phone number: 707-449-6504
Mailing Address
-- MARK M. SHAW Ph.D.
PO BOX 9811
BERKELEY, CA 94709-0811
Phone number: