Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PY8564 | FL |
Y | 103TC0700X | Clinical Psychologist | PY8564 | FL |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PY 8564 | FL |
N | 103TF0000X | Family Psychologist | PY 8564 | FL |
N | 103TH0004X | Health Psychologist | PY 8564 | FL |
NPI | 1134478274 |
---|---|
Provider Name | Dr. Leanne Shapiro |
First Address | Coral Gables, FL 33146-2927 |
Second Address | Coral Gables, FL 33146-2927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2012 |
Last Update Date | 05/09/2012 |