Doctor Name: | MRS. LYNN WACHTEL SHAPIRO |
NPI Number: | 1003998204 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 16606 |
Business Practice Address: | 17732 Oak Park Ave Tinley Park, IL - 60477 |
Business Phone Number: | 7083421773 |
Business Fax Number: | 7083421780 |
Mailing Address: | 17732 Oak Park Ave, TINLEY PARK |
State: | IL |
Postal Code: | 60477 |
Phone Number: | 7083421773 |
Fax Number: | 7083421780 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 16606 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |