National Provider Identifier
Amanda Shaw, PHD
Amanda Shaw, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (505) 402-3639.
Profile Overview
- NPI
- 1356834378
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- June 13, 2018
- Last Updated
- June 13, 2018
Practice Location
- 247 Park Ave
- Rochester, NY 14607-2723
Phone: (505) 402-3639
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1356834378
- Entity Type
- Individual
- Last Name
- Shaw
- First Name
- Amanda
- Name Prefix
- Dr.
- Credential
- PHD
- Mailing Street Address
- 247 Park Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-2723
- Mailing Country
- US
- Mailing Phone
- (505) 402-3639
- Mailing Fax
- (585) 244-0629
- Practice Street Address
- 247 Park Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-2723
- Practice Country
- US
- Practice Phone
- (505) 402-3639
- Practice Fax
- (585) 244-0629
- Enumeration Date
- June 13, 2018
- Last Updated
- June 13, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)