Organization
ELLEN SHAPIRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN SHAPIRO PH.D (MEMBER/PSYCHOLOGIST)
(850) 556-2625
Entity
Organization
Contact information
Practice address
1003 N ADAMS ST, TALLAHASSEE, FL 32303-6132
(850) 222-0003
(850) 222-1311
Mailing address
1003 N ADAMS ST, TALLAHASSEE, FL 32303-6132
(850) 222-0003
(850) 222-1311
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 3674
FL
Other
Enumeration date
01/12/2015
Last updated
01/14/2015
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