Provider Demographics
NPI:1447780291
Name:SHAPERA, ROBERT (LMFT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:SHAPERA
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:992 ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94608-2740
Mailing Address - Country:US
Mailing Address - Phone:510-679-2188
Mailing Address - Fax:
Practice Address - Street 1:933 PARKER ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94710-2517
Practice Address - Country:US
Practice Address - Phone:510-679-2188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-14
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95994106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist