| Shaffer Psychological Institute | |
|
753 W Basin St San Pedro CA 90731-1301 | |
| (310) 548-6868 | |
| (310) 548-6833 |
| Full Name | Shaffer Psychological Institute |
|---|---|
| Speciality | Psychologist |
| Location | 753 W Basin St, San Pedro, California |
| Authorized Official Name and Position | Stuart M Shaffer (OWNER) |
| Authorized Official Contact | 3105486868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaffer Psychological Institute 753 W Basin St San Pedro CA 90731-1301 Ph: (310) 548-6868 | Shaffer Psychological Institute 753 W Basin St San Pedro CA 90731-1301 Ph: (310) 548-6868 |
| NPI Number | 1629115415 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629115415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY 5613 (California) | Primary |
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