Provider Demographics
NPI:1114148947
Name:SHAPIRO, BARBARA (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 VICTORIAN POINT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-4200
Mailing Address - Country:US
Mailing Address - Phone:719-633-9050
Mailing Address - Fax:
Practice Address - Street 1:2280 GELLERT BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-5411
Practice Address - Country:US
Practice Address - Phone:650-242-4154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2023-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33936235Z00000X
00197046235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist