Roberta Shapiro, M.ED.,LCSW, NBCCH - Diplomate, American Board of Psychotherapy

Roberta Shapiro M.Ed., LCSW, NBCCH Diplomate American Board of Psychotherapy Certified EMDR Board Certified Hypnotherapy License Number 0000177

Download - Intake Form

Patient Intake Form (PDF)

Patient Intake Form (WORD)

Intake Form

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Roberta Shapiro
4530 Prairie Avenue ▪ Miami Beach, Florida 33105
Tel: (305) 674-8158 ▪ Fax: (305) 534-2304
E-mail: rshap33@earthlink.net