Individual
MICHAEL SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
812 E HIGH ST, CHARLOTTESVILLE, VA 22902-5126
(434) 542-8421
Mailing address
1516 RUTLEDGE AVE, CHARLOTTESVILLE, VA 22903-1418
(847) 323-9510
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
0810005975
VA
103T00000X
Psychologist
PS017314
PA
103TC0700X
Clinical Psychologist
P3385
TN
Other
Enumeration date
09/05/2012
Last updated
10/30/2024
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