Organization
SHAPIRO PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHAPIRO PH.D. (OWNER)
(814) 308-9048
Entity
Organization
Contact information
Practice address
1402 S ATHERTON ST, SUITE 102, STATE COLLEGE, PA 16801-6255
(814) 308-9048
Mailing address
1402 S ATHERTON ST, SUITE 102, STATE COLLEGE, PA 16801-6255
(814) 308-9048
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS017314
PA
103TC0700X
Clinical Psychologist
Primary
PS017314
PA
Other
Enumeration date
11/13/2013
Last updated
07/29/2015
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