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Individual

DR. SUSAN ABBY SHAPIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH. D.

Contact information

Practice address
120 SEARS AVE, SUITE 204, LOUISVILLE, KY 40207-5072
(502) 893-5332
(502) 893-5764
Mailing address
120 SEARS AVE, SUITE 204, LOUISVILLE, KY 40207-5072
(502) 893-5332
(502) 893-5764

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
526
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1278968
TAX ID
KY
Enumeration date
02/06/2007
Last updated
07/08/2007
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