Provider Demographics
NPI:1093033193
Name:SHAPIRO, JOYCE R (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:R
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 1:7604 SW 102ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-3151
Mailing Address - Country:US
Mailing Address - Phone:305-992-7166
Mailing Address - Fax:
Practice Address - Street 1:2701 S BAYSHORE DR
Practice Address - Street 2:SUITE 401
Practice Address - City:COCONUT GROVE
Practice Address - State:FL
Practice Address - Zip Code:33133-5309
Practice Address - Country:US
Practice Address - Phone:305-443-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 57235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist