Individual
JEANNE ALYCE SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
150 E FAYETTE ST APT 406, SYRACUSE, NY 13202-1649
(727) 386-8527
Mailing address
150 E FAYETTE ST APT 406, SYRACUSE, NY 13202-1649
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7852
NY
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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