Provider Demographics
NPI:1619747672
Name:SHAPIRO, DAWN A (LMFT)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:A
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 WESTCLIFF DR STE 305
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-5519
Mailing Address - Country:US
Mailing Address - Phone:949-554-9347
Mailing Address - Fax:
Practice Address - Street 1:1501 WESTCLIFF DR STE 305
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-5519
Practice Address - Country:US
Practice Address - Phone:949-554-9347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA141994106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist