SHANIQUE SHERITA SHAW AMPIAH

BRIDGEPORT, WV
NPI1295152510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: FL  ME141234)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: FL  ME141234)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA  307164)
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: LA  307164)
Enumeration Date2014-03-25
Last Update Date2023-07-22
Business Address
Dr. SHANIQUE SHERITA SHAW AMPIAH MD
65 PROFESSIONAL PL
BRIDGEPORT, WV 26330-0258
Phone number: 304-269-9381
Mailing Address
Dr. SHANIQUE SHERITA SHAW AMPIAH MD
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702-4399
Phone number: 904-203-4700