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NPI Code Detail

MEDICARE: DR. DANA ZIPORA SHAFIR PH.D.

MEDICARE:  DR. DANA ZIPORA SHAFIR  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor59574TX

General Provider Information

NPI Number : 1679581771
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANA ZIPORA SHAFIR PH.D.
Provider Business Mailing Address
First Line : 4124 TIMBERSEDGE TRL
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-4543
Country : US
Telephone Number : 817-223-6961
Fax Number :
Provider Business Practice Location Address
First Line : 2100 N MAIN ST
Second Line : STE 226
City : FORT WORTH
State : TX
Zip : 76106-8570
Country : US
Telephone Number : 817-626-6401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DANA ZIPORA SHAFIR PH.D.” Practice Location

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