MEDICARE: CAROL A SHAPIRO

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
1	103TS0200X	School Psychologist	10242655	AZ

General Provider Information

NPI Number	:	1992633622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL A SHAPIRO

Provider Business Mailing Address
First Line	:	4545 N LA CHOLLA BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-2009
Country	:	US
Telephone Number	:	520-696-8840
Fax Number	:

Provider Business Practice Location Address
First Line	:	4545 N LA CHOLLA BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-2009
Country	:	US
Telephone Number	:	520-696-8840
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “ CAROL A SHAPIRO ” Practice Location

Language	Start Address	Practice Location

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