Individual
BENJAMIN G SHAPERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7825 TUCKERMAN LN STE 209, POTOMAC, MD 20854
(301) 338-8784
Mailing address
6417 ROCK FOREST DR APT 109, BETHESDA, MD 20817-7860
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06019
MD
Other
Enumeration date
04/22/2014
Last updated
02/06/2019
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