location
search-icon
person
Dr. Tracy Denise Shaw, PHD
Prescribing (Medical) Psychologist in Culver City, California
NPI 1982727392

Tracy Denise Shaw is a Prescribing (Medical) Psychologist based in Culver City, CA and is specialized in Prescribing (Medical). Tracy Denise Shaw practices in Culver City, CA and has the professional credentials of PHD. The NPI Number for Tracy Denise Shaw is 1982727392 and holds a License No. PSY 12548 (California).

The current practice location address for Tracy Denise Shaw is 5855 Green Valley Cir, Culver City, CA and can be reached out via phone at 310-641-3600.

Location: 5855 Green Valley Cir, Culver City, CA, 90230-6946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982727392
Provider Name
Tracy Denise Shaw
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
5855 Green Valley Cir, Culver City, CA, 90230-6946
Phone Number
310-641-3600
Fax Number
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5855 Green Valley Cir
City
Culver City
State
California
Zip
90230-6946
Phone Number
310-641-3600
Fax Number
person
Provider Business Mailing Address Details
Address
5855 Green Valley Cir
City
Culver City
State
California
Zip
90230-6946
Phone Number
310-641-3600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
PSY 12548 (California)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.