# DR. RICHARD M SHAPIRO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003818899
- **Gender:** Man
- **Credential:** PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 0692 | KS | Yes |

## Other

- **Enumeration date:** 08/11/2005
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005205266 | AETNA | KS |
| 01 | — | 010602 | BCBSKS | KS |
| 05 | — | 100238960A | — | KS |
| 01 | — | 680003247 | RAILROAD MEDICARE | KS |