Provider Demographics
NPI:1386837508
Name:SHAW, ALANNA MAUREEN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ALANNA
Middle Name:MAUREEN
Last Name:SHAW
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:ALANNA
Other - Middle Name:MAUREEN
Other - Last Name:SHAW-FILIPPI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 445
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-0445
Mailing Address - Country:US
Mailing Address - Phone:650-454-0443
Mailing Address - Fax:650-591-3995
Practice Address - Street 1:326 CHESTERTON AVE
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-2513
Practice Address - Country:US
Practice Address - Phone:650-454-0443
Practice Address - Fax:650-591-3995
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43549106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist