Provider Demographics
NPI:1679581771
Name:SHAFIR, DANA ZIPORA (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:ZIPORA
Last Name:SHAFIR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4124 TIMBERSEDGE TRL
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-4543
Mailing Address - Country:US
Mailing Address - Phone:817-223-6961
Mailing Address - Fax:
Practice Address - Street 1:2100 N MAIN ST
Practice Address - Street 2:STE 226
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76106-8570
Practice Address - Country:US
Practice Address - Phone:817-626-6401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59574101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health