Dr Mira B Shore, PSYD is a
Counselor based in Philadelphia, Pennsylvania. Dr Mira B Shore is licensed to practice in * (Not Available) (license number ) and her current practice location is
850 N 11th St, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(267) 597-3604.
NPI number for Dr Mira B Shore is 1750079067 and her current mailing address is 921 Chester Pike, Sharon Hill, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750079067.
Healthcare Provider's Profile
Full Name | Dr Mira B Shore |
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Gender | Female |
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Speciality | Counselor |
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Location | 850 N 11th St, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750079067
- Provider Enumeration Date: 04/25/2023
- Last Update Date: 10/07/2024
Medical Identifiers
Medical identifiers for Dr Mira B Shore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750079067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | (* (Not Available)) | Secondary |
101Y00000X | Counselor | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mira B Shore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mira B Shore, PSYD 921 Chester Pike, Sharon Hill, PA 19079-1411 Ph: (610) 639-0795 | Dr Mira B Shore, PSYD 850 N 11th St, Philadelphia, PA 19123-1957 Ph: (267) 597-3604 |
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