Search › Pennsylvania › 103T00000X
Mira Shore, PSYD
NPI 1750079067 · on the registry since 2023
Practice
- Address
- 850 N 11th St
Philadelphia, PA 19123 - Phone
- (267) 597-3604
- Organisation at this address
- 11th Street Pharmacy Llc
Ramsey Educational Development Institute, Inc.
Family Practice & Counseling Services Network, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 40
Additional practice sites
- 921 Chester Pike, Sharon Hill, PA
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 101Y00000X
- Sex
- Female
- Record last updated
- 2026-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania