DR. SIDNEY L SHAW LCPC NPI 1073689659

NPI Information

NPI: 1073689659
Provider Name: DR. SIDNEY L SHAW, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
725 SW HIGGINS AVE STE B
MISSOULA, MT
ZIP 59803
Phone: (406) 203-2150
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DR. Sidney L Shaw, LCPC is a professional counselor in Missoula, MT. DR. Sidney L Shaw, LCPC NPI is 1073689659. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

725 SW HIGGINS AVE STE B
MISSOULA, MT
ZIP 59803-420
Phone: (406) 203-2150

The enumeration date for this NPI number is 11/27/2006 and was last updated on 10/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	398	ALASKA	No
2	101YP2500X	Counselor	Professional	1456	MONTANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CL3490	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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