Individual
JEREMY SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23240 CHAGRIN BLVD., BEACHWOOD, OH 44122
(216) 292-3530
(216) 292-3840
Mailing address
23240 CHAGRIN BLVD., BEACHWOOD, OH 44122
(216) 292-3530
(216) 292-3840
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4310
OH
Other
Enumeration date
06/05/2006
Last updated
10/25/2010
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