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MIRA SHORE, PSYD.

PSYD.

Psychologist

NPI: 1750079067IndividualAccepts Medicare

Specialties, Licenses & Credentials

Counselor

Code: 101Y00000X

Psychologist

Code: 103T00000X

CMS Specialties

PrimaryCLINICAL PSYCHOLOGIST

Education

OTHER

Class of 2021

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Contact & Hours

Via practice · 2 locations total

Address
850 N 11TH ST
PHILADELPHIA, PA 19123

Quick Facts

NPI
1750079067
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
5

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