Provider Demographics
NPI:1720189533
Name:SHAPIRO, ALAN A (MA, LPC, CAC)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:A
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MA, LPC, CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 FARMERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-9748
Mailing Address - Country:US
Mailing Address - Phone:610-954-5580
Mailing Address - Fax:610-849-0610
Practice Address - Street 1:2240 FARMERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-9748
Practice Address - Country:US
Practice Address - Phone:610-954-5580
Practice Address - Fax:610-849-0610
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002074101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional