| Miriam Shapiro Llc | |
|
1608 Adelia Pl Ne Atlanta GA 30329-3808 | |
| (314) 440-6175 | |
| Not Available |
| Full Name | Miriam Shapiro Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1608 Adelia Pl Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Miriam Shapiro (PRESIDENT) |
| Authorized Official Contact | 3144406175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miriam Shapiro Llc 1608 Adelia Pl Ne Atlanta GA 30329-3808 Ph: (314) 440-6175 | Miriam Shapiro Llc 1608 Adelia Pl Ne Atlanta GA 30329-3808 Ph: (314) 440-6175 |
| NPI Number | 1497431019 |
|---|---|
| Provider Enumeration Date | 06/27/2023 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/27/2023 |
| Medicare PECOS PAC ID | 2062875222 |
|---|---|
| Medicare Enrollment ID | O20230906000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497431019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Miriam Shapiro |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1861877292 PECOS PAC ID: 6204121080 Enrollment ID: I20160817002857 |
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