Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 6301015214 | MI |
Y | 103TC0700X | Clinical Psychologist | 6301015214 | MI |
N | 103TR0400X | Rehabilitation Psychologist | 6301015214 | MI |
NPI | 1275766677 |
---|---|
Provider Name | Danielle Nicole Shapiro |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48108-5744 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2009 |
Last Update Date | 04/11/2019 |