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.

NPI 1356834378Rochester, NYClinical Psychologist

Source: public NPPES record, last updated June 13, 2018. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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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
Taxonomies
Clinical Psychologist (103TC0700X)