| NPI | 1134691462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D SHAPIRO Owner 434-542-8421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2024-10-30 |