Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 013193 | NY |
Y | 103T00000X | Psychologist | 013193 | NY |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 013193 | NY |
N | 103G00000X | Clinical Psychologist | 013193 | NY |
N | 103TC0700X | Clinical Psychologist | 013193 | NY |
N | 103TC1900X | Counseling Psychologist | 013193 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 013193 | NY |
N | 103TF0000X | Family Psychologist | 013193 | NY |
N | 103TP2701X | Group Psychotherapist | 013193 | NY |
N | 103TS0200X | School Psychologist | 013193 | NY |
NPI | 1083082341 |
---|---|
Provider Name | Dr. Lisa Shapir |
First Address | Commack, NY 11725-4441 |
Second Address | East Northport, NY 11731-4205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2015 |
Last Update Date | 04/01/2019 |