Wallace Philip Shaw, BMBCHPHD
Wallace Philip Shaw, BMBCHPHD is a Psychiatry Physician in Bethesda, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2020
Practice location Partly verified
Clinical Center NIHBethesda, MD 20892-0001
Phone: (202) 679-6003
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Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence D-48403 (MD) |
|---|
Record details
| NPI number | 1154949402 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | BMBCHPHD |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2020 |
| Last updated in NPPES | July 13, 2020 |
| Certification date | July 13, 2020 |
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