Provider Demographics
NPI:1558127357
Name:NANCY SHAPIRO HOOPER PHD LLC
Entity Type:Organization
Organization Name:NANCY SHAPIRO HOOPER PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:SHAPIRO
Authorized Official - Last Name:HOOPER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-499-8390
Mailing Address - Street 1:2312 TUFTON RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-5518
Mailing Address - Country:US
Mailing Address - Phone:410-499-8390
Mailing Address - Fax:
Practice Address - Street 1:2312 TUFTON RIDGE RD
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-5518
Practice Address - Country:US
Practice Address - Phone:410-499-8390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty