Individual
ELSA GAIL SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
516 DELAWARE ST SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455-0356
(612) 625-7466
Mailing address
420 DELAWARE STREET SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 625-7466
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1851
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0491895
—
MT
01
—
1016466
PREFERRED ONE
MN
01
—
102843
UCARE
FM
01
—
4T525SH
BLUE CROSS BLUE SHIELD
MN
01
—
61-80321
MEDICA CHOICE
MN
01
—
770292
ARAZ
MN
01
—
B696
CHAMPUS
—
01
—
C003
CHAMPUS
—
01
—
HP28933
HEALTH PARTNERS
MN
Enumeration date
10/20/2006
Last updated
07/08/2007
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