TRACY DENISE SHAW

CULVER CITY, CA
NPI1982727392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TP0016X Psychologist, Prescribing (Medical)
(Licence: CA  PSY 12548)
Enumeration Date2007-04-09
Last Update Date2007-07-08
Business Address
Dr. TRACY DENISE SHAW Ph.D.
5855 GREEN VALLEY CIR SUITE 109
CULVER CITY, CA 90230-6946
Phone number: 310-641-3600
Mailing Address
Dr. TRACY DENISE SHAW Ph.D.
5855 GREEN VALLEY CIR SUITE 109
CULVER CITY, CA 90230-6946
Phone number: 310-641-3600