Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | PY4954 | FL |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PY4954 | FL |
N | 103G00000X | Clinical Psychologist | PY4954 | FL |
N | 103TC0700X | Clinical Psychologist | PY4954 | FL |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PY4954 | FL |
N | 103TF0000X | Family Psychologist | PY4954 | FL |
N | 103TF0200X | Forensic Psychologist | PY4954 | FL |
N | 103TM1800X | Intellectual & Developmental Disabilities | PY4954 | FL |
N | 103TP0814X | Psychoanalysis | PY4954 | FL |
N | 103TP2701X | Group Psychotherapist | PY4954 | FL |
N | 103TS0200X | School Psychologist | PY4954 | FL |
NPI | 1396963203 |
---|---|
Provider Name | Dr. Susan Harriet Shapiro |
First Address | Tallahassee, FL 32303-6205 |
Second Address | Tallahassee, FL 32303-6205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
59487 | BLUE CROSS BLUE SHIELD (01) | FL |