Provider Demographics
NPI:1184092280
Name:SHAPIRO, ALESSANDRA (PSYD)
Entity type:Individual
Prefix:MS
First Name:ALESSANDRA
Middle Name:
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 SW 36TH ST
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-1902
Mailing Address - Country:US
Mailing Address - Phone:954-262-7089
Mailing Address - Fax:954-262-3744
Practice Address - Street 1:7600 SW 36TH ST
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-1902
Practice Address - Country:US
Practice Address - Phone:954-262-7089
Practice Address - Fax:954-262-3744
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-04
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 9363103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist