Crista Shaw's National Provider Identifier (NPI) Details
Crista Shaw, LCPC
NPI: 1699088195
Enumeration Date: 2010-07-26
Last updated: 2014-05-23
Sole Proprietor: NO
Status: active
Postal Address: 67 EUSTIS PKWY, WATERVILLE, ME
Phone: 207-873-2136
Primary Practice Address: 66 STONE ST, AUGUSTA, ME
Practice's phone: 207-626-3455