Individual
JEFFREY GUNNER SHAPIRO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
14 E STRATFORD AVE, LANSDOWNE, PA 19050-2042
(610) 667-0836
(610) 667-8655
Mailing address
143 UPLAND TER, BALA, PA 19004-3126
(610) 667-0836
(610) 667-8655
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS 200349
PA
103TC0700X
Clinical Psychologist
Primary
PS 002349L
PA
Other
Enumeration date
09/20/2005
Last updated
09/11/2025
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