Back to Search
MIRA SHORE, PSYD.
PSYD.
Counselor
NPI: 1750079067IndividualAccepts Medicare
Specialties, Licenses & Credentials
Psychologist
Psychologist
Code: 103T00000X
CounselorPrimary
Counselor
Code: 101Y00000X
CMS Specialties
PrimaryCLINICAL PSYCHOLOGIST
Education
OTHER
Class of 2021
Contact & Hours
Via practice · 2 locations total
- Address
- 850 N 11TH ST
PHILADELPHIA, PA 19123 - Phone
- (267) 597-3604
Quick Facts
- NPI
- 1750079067
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 5
Are you this provider?
Claim Your Profile