| Dr Susan Shapiro Psychologist, Inc | |
|
1647 S Hayworth Ave Los Angeles CA 90035-4513 | |
| (310) 659-7800 | |
| Not Available |
| Full Name | Dr Susan Shapiro Psychologist, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1647 S Hayworth Ave, Los Angeles, California |
| Authorized Official Name and Position | Susan Shapiro (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 3106597800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan Shapiro Psychologist, Inc 269 S Beverly Dr # 812 Beverly Hills CA 90212-3851 Ph: (310) 659-7800 | Dr Susan Shapiro Psychologist, Inc 1647 S Hayworth Ave Los Angeles CA 90035-4513 Ph: (310) 659-7800 |
| NPI Number | 1326661331 |
|---|---|
| Provider Enumeration Date | 05/26/2020 |
| Last Update Date | 05/26/2020 |
| Certification Date | 05/26/2020 |
| Medicare PECOS PAC ID | 3375965494 |
|---|---|
| Medicare Enrollment ID | O20200618002096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326661331 | NPI | - | NPPES |
| Provider Name | Susan Shapiro |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1023214624 PECOS PAC ID: 1557643814 Enrollment ID: I20170309002662 |
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