JEFFREY GUNNER SHAPIRO


Address: 14 E Stratford Ave, Lansdowne, PA 19050-2042
Phone: 6106670836

JEFFREY GUNNER SHAPIRO (NPI# 1609861277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609861277
Entity Type Individual
Full Name JEFFREY GUNNER SHAPIRO
Credential PH.D.
Practice Address 14 E Stratford Ave
Lansdowne
PA 19050-2042
Mailing Address 143 Upland Ter
Bala
PA 19004-3126
Practice Telephone 6106670836
Practice Fax Number 6106678655
Mailing Telephone 6106670836
Mailing Fax Number 6106678655
Enumeration Date 2005-09-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103G00000X Clinical Neuropsychologist PS 200349 PA Behavioral Health & Social Service Providers
X 103TC0700X Psychologist
Specialization: Clinical
PS 002349L PA Behavioral Health & Social Service Providers

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Office Location

Street Address 14 E STRATFORD AVE
City LANSDOWNE
State PA
Zip Code 19050-2042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134230733 Lillian S Goertzel Psychologist 14 E Stratford Ave, Ste 1a, Lansdowne, PA 19050 2006-08-31
1598740573 Rosemary Anne Herrick Psychologist 14 E Stratford Ave, Suite 1-a, Lansdowne, PA 19050-2042 2005-12-13

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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

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Competitor

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City LANSDOWNE
Zip Code 19050

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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