Provider Demographics
NPI:1912053257
Name:SHAPIRO, JUNE H (PHD)
Entity Type:Individual
Prefix:DR
First Name:JUNE
Middle Name:H
Last Name:SHAPIRO
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 1:95 ARGYLE RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-2903
Mailing Address - Country:US
Mailing Address - Phone:718-282-6819
Mailing Address - Fax:718-282-6819
Practice Address - Street 1:95 ARGYLE RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-2903
Practice Address - Country:US
Practice Address - Phone:718-282-6819
Practice Address - Fax:718-282-6819
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0135551103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV84361Medicare ID - Type UnspecifiedCLINICAL PSYCHOLOGIST