Doctor Name: | DR. STEVEN SCOTT SHAPIRO |
NPI Number: | 1104032358 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PS005566L |
Business Practice Address: | 2 Mystic Ln Malvern, PA - 193551942 |
Business Phone Number: | 6106884940 |
Business Fax Number: | |
Mailing Address: | 2 Mystic Ln, MALVERN |
State: | PA |
Postal Code: | 193551942 |
Phone Number: | 6106884940 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 06/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS005566L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |