Provider Demographics
NPI:1063665420
Name:SHAPIRO, SHARI (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 NARRAGANSETT AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-2005
Mailing Address - Country:US
Mailing Address - Phone:516-413-6927
Mailing Address - Fax:
Practice Address - Street 1:280 NARRAGANSETT AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-2005
Practice Address - Country:US
Practice Address - Phone:516-371-1818
Practice Address - Fax:516-371-0675
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5052-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist