Provider Demographics
NPI:1790936706
Name:SHAW, FERRELL DIONNE (BSW)
Entity Type:Individual
Prefix:MRS
First Name:FERRELL
Middle Name:DIONNE
Last Name:SHAW
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1789 S BRADDOCK AVE STE 585
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1894
Mailing Address - Country:US
Mailing Address - Phone:412-244-8001
Mailing Address - Fax:412-244-8090
Practice Address - Street 1:1789 S BRADDOCK AVE
Practice Address - Street 2:SUITE 585
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1842
Practice Address - Country:US
Practice Address - Phone:412-244-8001
Practice Address - Fax:412-244-8090
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor