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General NPI Number Information
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NPI Number | 1306457635
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Entity Type | Individual
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Provider Name | ALYSSA ROBIN SHAPIRO PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 255 S 17TH ST STE 1106
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City | PHILADELPHIA
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State | PA
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Zip | 19103-6212
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Country | US
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Telephone | 215-564-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 WALNUT ST APT 401
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City | PHILADELPHIA
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State | PA
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Zip | 19103-5408
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Country | US
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Telephone | 516-659-4921
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS020484
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 104841-01
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS020484
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License Number State | PA
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