DR. WELLINGTON (TONY) WILBERT SHAW PHD NCP CAPP CART NPI 1659608909

NPI Information

NPI: 1659608909
Provider Name: DR. WELLINGTON (TONY) WILBERT SHAW, PHD, NCP, CAPP, CART
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3872 LONG BRANCH LANE
APOPKA, FL
ZIP 32712
Phone: (407) 880-8916
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DR. Wellington (tony) Wilbert Shaw, PHD, NCP, CAPP, CART is a mental health counselor in Apopka, FL. DR. Wellington (tony) Wilbert Shaw, PHD, NCP, CAPP, CART NPI is 1659608909. 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:

3872 LONG BRANCH LANE
APOPKA, FL
ZIP 32712-790
Phone: (407) 880-8916
Fax: (407) 880-8916

The enumeration date for this NPI number is 11/6/2009 and was last updated on 11/6/2009.

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	CAPP-320, NCP-01277	FLORIDA	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	904489719	OTHER	FLORIDA	UNITED HEALTH CARE

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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