| Carla M. Shaffer, Phd., Llc | |
|
17 E Main St #3 Richmond VA 23219-2109 | |
| (804) 495-0676 | |
| Not Available |
| Full Name | Carla M. Shaffer, Phd., Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 17 E Main St, Richmond, Virginia |
| Authorized Official Name and Position | Carla Shaffer (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8048738755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carla M. Shaffer, Phd., Llc 3649 Stone Harbor Dr Midlothian VA 23113-9200 Ph: () - | Carla M. Shaffer, Phd., Llc 17 E Main St #3 Richmond VA 23219-2109 Ph: (804) 495-0676 |
| NPI Number | 1215474614 |
|---|---|
| Provider Enumeration Date | 01/23/2017 |
| Last Update Date | 01/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215474614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810005414 (Virginia) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 0810005414 (Virginia) | Primary |
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