Individual
ROBERT J SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6767 N WICKHAM RD, SUITE 306, MELBOURNE, FL 32940-2031
(321) 751-1925
(321) 751-9261
Mailing address
6767 N WICKHAM RD, SUITE 306, MELBOURNE, FL 32940-2031
(321) 751-1925
(321) 751-9261
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0002592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59328
BCBS
FL
Enumeration date
02/02/2007
Last updated
12/27/2011
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