Search › Florida › 101YM0800X
Jack Shaw, ED.D., LMHC
NPI 1124623319 · on the registry since 2020
Practice
- Address
- 1735 Dr Mlk Jr Street South
St Petersburg, FL 33705 - Phone
- (727) 502-0188
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida