Individual
DR. JODIE SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1832 CENTRE ST, WEST ROXBURY, MA 02132-1901
(617) 323-8480
Mailing address
52 WALTER ST, ROSLINDALE, MA 02131-1521
(617) 323-8480
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
4574
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WO4476
BLUE CROSS BLUE SHIELD ID
MA
Enumeration date
04/16/2007
Last updated
07/08/2007
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