Provider Demographics
NPI:1447455605
Name:SHAPIRO, JOANNE (JOANNE SHAPIRO)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:JOANNE SHAPIRO
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:
Other - Last Name:SHAPIRO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JOANNE SHAPIRO MS
Mailing Address - Street 1:1080 S BERETANIA ST APT 901
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1445
Mailing Address - Country:US
Mailing Address - Phone:808-372-3143
Mailing Address - Fax:
Practice Address - Street 1:1080 S BERETANIA ST APT 901
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1445
Practice Address - Country:US
Practice Address - Phone:808-372-3143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ10101YMO800X101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health