Individual
DR. MIRA B SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
850 N 11TH ST, PHILADELPHIA, PA 19123-1957
(267) 597-3604
Mailing address
921 CHESTER PIKE, SHARON HILL, PA 19079-1411
(610) 639-0795
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
02/12/2026
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