Thomas Rauby Shaffer in Brookings - Clinical Neuropsychologist
Thomas Rauby Shaffer - NPI 1770749442
Thomas Rauby Shaffer is a Clinical Neuropsychologist in Brookings, South Dakota. Thomas Rauby Shaffer practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Thomas Rauby Shaffer is 1770749442. The last update date is 2014-07-14.
Thomas Rauby Shaffer's current location address is Po Box 931, Brookings, South Dakota. You can contact this provider via phone number 6056950651 and fax number 6056921883. The mailing address for Thomas Rauby Shaffer is Po Box 931, Brookings, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Rauby Shaffer |
|---|---|
| Address | Po Box 931, Brookings, South Dakota |
| Phone Number | 6056950651 |
| Fax Number | 6056921883 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1770749442 |
|---|---|
| Provider Enumeration Date | 2008-08-01 |
| Last Updated Date | 2014-07-14 |
Provider Mailing Address Detail
| Address | Po Box 931 |
|---|---|
| City | Brookings |
| State | South Dakota (SD) |
| Post Code | 570060931 |
| Phone Number | 6056950651 |
| Fax Number | 6056921883 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 472 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6552660 | SD | -- | |
| S102729 | MEDICARE PTAN/ID |
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What is the unique identification code assigned to Thomas Rauby Shaffer by the Centers for Medicare & Medicaid Services?
The Thomas Rauby Shaffer has been issued the NPI (National Provider Identifier) 1770749442. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Thomas Rauby Shaffer is geographically located?
The Thomas Rauby Shaffer is physically situated at the following location: Po Box 931, Brookings, SD, 570060931.
What is Thomas Rauby Shaffer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Thomas Rauby Shaffer's specialized field of practice is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770749442 to Thomas Rauby Shaffer?
The Centers for Medicare & Medicaid Services originally issued the 1770749442 to Thomas Rauby Shaffer on 2008-08-01.
As of what date were the Thomas Rauby Shaffer's details last updated?
The information pertaining to the Thomas Rauby Shaffer, including its address, specialty, and other details, was most recently updated on 2014-07-14.
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