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Individual

DR. NANCY EILEEN SHAPIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1234 BROADWAY, SOMERVILLE, MA 02144-1703
(617) 921-5427
Mailing address
35 WALDEN ST, 3G, CAMBRIDGE, MA 02140-2047
(617) 921-5427

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
7372
MA
103TB0200X
Cognitive & Behavioral Psychologist
7372
MA
103TC0700X
Clinical Psychologist
Primary
7372
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0501646
MA
Enumeration date
01/19/2007
Last updated
04/28/2016
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