SearchIllinois101YM0800X

Frrederick Shaw, MS, LCPC

NPI 1770652224 · on the registry since 2006 · sole proprietor

Practice

Address
6655 E. Us 36
Avon, IL 46123
Phone
(317) 272-3330

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Illinois