| Kathryn C Shafer Phd Pa | |
|
675 W Indiantown Rd Ste 100 Jupiter FL 33458-7555 | |
| (561) 799-6789 | |
| (561) 575-7545 |
| Full Name | Kathryn C Shafer Phd Pa |
|---|---|
| Speciality | Social Worker |
| Location | 675 W Indiantown Rd Ste 100, Jupiter, Florida |
| Authorized Official Name and Position | Kathryn C Shafer (OWNER) |
| Authorized Official Contact | 5617996789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn C Shafer Phd Pa 675 W Indiantown Rd Ste 100 Jupiter FL 33458-7555 Ph: (561) 799-6789 | Kathryn C Shafer Phd Pa 675 W Indiantown Rd Ste 100 Jupiter FL 33458-7555 Ph: (561) 799-6789 |
| NPI Number | 1194976308 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 10/07/2008 |
| Medicare PECOS PAC ID | 0547328148 |
|---|---|
| Medicare Enrollment ID | O20081027000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194976308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW2276 (Florida) | Primary |
| Provider Name | Kathryn Caroline Shafer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225078975 PECOS PAC ID: 7214942887 Enrollment ID: I20060220000057 |
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