Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairy Shaw, AMFT

Individual provider Marriage & Family Therapist · NPI 1639727209

Fairy Shaw, AMFT is a Marriage & Family Therapist in Long Beach, California. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

4700 Clair Del Ave Apt 545
Long Beach, CA 90807-1329
Phone: (562) 805-3092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1639727209
Entity typeIndividual (Type 1)
GenderFemale
Credentials AMFT
Sole proprietorYes
NPI enumeratedAugust 28, 2019
Last updated in NPPESAugust 28, 2019

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