Individual
JENNA B SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
433 PLAZA REAL STE 275, BOCA RATON, FL 33432-3999
(312) 561-6805
Mailing address
220 SE MIZNER BLVD UNIT 210, BOCA RATON, FL 33432-5205
(312) 561-6805
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY12316
FL
103TC0700X
Clinical Psychologist
071.010336
IL
Other
Enumeration date
06/26/2020
Last updated
03/04/2025
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