Provider Demographics
NPI:1669684601
Name:SHAPIRO COHEN, ESTHER LYNNE (PHD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:LYNNE
Last Name:SHAPIRO COHEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ESTEE
Other - Middle Name:
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:949 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6728
Mailing Address - Country:US
Mailing Address - Phone:916-215-2859
Mailing Address - Fax:916-374-7361
Practice Address - Street 1:949 UNIVERSITY AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6728
Practice Address - Country:US
Practice Address - Phone:916-215-2859
Practice Address - Fax:916-374-7361
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY18366103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical