Dr Jennifer Shaw, MA, PSYD is a
Student In An Organized Health Care Education/training Program based in Manassas, Virginia. Dr Jennifer Shaw is licensed to practice in * (Not Available) (license number ) and her current practice location is
9329 Battle St, Manassas, Virginia. She can be reached at her office (for appointments etc.) via phone at
(703) 402-7232.
NPI number for Dr Jennifer Shaw is 1710145461 and her current mailing address is 9229 Portner Ave, Manassas, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710145461.
Healthcare Provider's Profile
| Full Name | Dr Jennifer Shaw |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 9329 Battle St, Manassas, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710145461
- Provider Enumeration Date: 05/29/2008
- Last Update Date: 07/23/2021
Medical Identifiers
Medical identifiers for Dr Jennifer Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710145461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Shaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jennifer Shaw, MA, PSYD
9229 Portner Ave,
Manassas, VA 20110-5046
Ph: (703) 402-7232 | Dr Jennifer Shaw, MA, PSYD
9329 Battle St,
Manassas, VA 20110-5101
Ph: (703) 402-7232 |
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