Provider Demographics
NPI:1992026033
Name:SHAPSON, BETH
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:SHAPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COLONIAL CT
Mailing Address - Street 2:
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036-2636
Mailing Address - Country:US
Mailing Address - Phone:609-702-5725
Mailing Address - Fax:
Practice Address - Street 1:3 COLONIAL CT
Practice Address - Street 2:
Practice Address - City:HAINESPORT
Practice Address - State:NJ
Practice Address - Zip Code:08036-2636
Practice Address - Country:US
Practice Address - Phone:609-702-5725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC005608L225X00000X
NJ46TR00002100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist