Provider Demographics
NPI: | 1457500449 |
---|---|
Name: | SHAPIRO, BARBARA (MD) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | BARBARA |
Middle Name: | |
Last Name: | SHAPIRO |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 1826 DELANCEY ST |
Mailing Address - Street 2: | |
Mailing Address - City: | PHILADELPHIA |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 19103-6607 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 121-554-5466 |
Mailing Address - Fax: | 215-985-4348 |
Practice Address - Street 1: | 1826 DELANCEY ST |
Practice Address - Street 2: | |
Practice Address - City: | PHILADELPHIA |
Practice Address - State: | PA |
Practice Address - Zip Code: | 19103-6607 |
Practice Address - Country: | US |
Practice Address - Phone: | 121-554-5466 |
Practice Address - Fax: | 215-985-4348 |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2008-09-15 |
Last Update Date: | 2015-07-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | MD031217E | 2084P0015X, 2084P0800X, 2084P0804X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No | 2084P0015X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychosomatic Medicine |
No | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry |