Doctor Name: | DR. LOREN SHAPIRO |
NPI Number: | 1417945858 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 3327 |
Business Practice Address: | 12573 Chillicothe Rd Chesterland, OH - 440262536 |
Business Phone Number: | 4407293645 |
Business Fax Number: | 4407293645 |
Mailing Address: | 12573 Chillicothe Rd, CHESTERLAND |
State: | OH |
Postal Code: | 440262536 |
Phone Number: | 4407293645 |
Fax Number: | 4407293645 |
NPI Enumeration Date: | 10/10/2005 |
NPI Last Update Date: | 07/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 3327 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |