DR. Jack William Shaw, ED.D., LMHC is a mental health counselor in St Petersburg, FL. DR. Jack William Shaw, ED.D., LMHC NPI is 1124623319. 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:
1735 DR MLK JR STREET SOUTH ST PETERSBURG, FL ZIP 33705-547 Phone: (727) 502-0188
The enumeration date for this NPI number is 12/3/2020 and was last updated on 11/2/2022.
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:
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: 3/30/2025
NPI Synchronization or Removal
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