Individual
MIRIAM SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2400 LAKE PARK DR SE STE 110, SMYRNA, GA 30080-8979
(770) 933-4130
(770) 933-4135
Mailing address
1608 ADELIA PL NE, ATLANTA, GA 30329-3808
(314) 440-6175
(770) 933-4135
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004028
GA
Other
Enumeration date
07/27/2015
Last updated
06/27/2023
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