Jerry Shafer Phd Inc. in Antioch - Psychologist

Jerry Shafer Phd Inc. - NPI 1891723938

Jerry Shafer Phd Inc. is a Psychologist in Antioch, California. Jerry Shafer Phd Inc. practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jerry Shafer Phd Inc. is 1891723938. The last update date is 2020-08-22.

Jerry Shafer Phd Inc.'s current location address is 3240 Lone Tree Way, Antioch, California. You can contact this provider via phone number 9257781661 and fax number 9257781661. The mailing address for Jerry Shafer Phd Inc. is 3240 Lone Tree Way, Antioch, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jerry Shafer Phd Inc.
Address 3240 Lone Tree Way, Antioch, California
Phone Number 9257781661
Fax Number 9257781661
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PSYCHOLOGI
Authorized Official Name Shafer Jerry
Credentials PHD
Telephone Number 9257781661

NPI Number Detail

NPI Number 1891723938
Provider Enumeration Date 2006-06-29
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 3240 Lone Tree Way
City Antioch
State California (CA)
Post Code 945095559
Phone Number 9257781661
Fax Number 9257781661

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PSY3395
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Jerry Shafer Phd Inc.

What is the Jerry Shafer Phd Inc.'s 1891723938?

The Jerry Shafer Phd Inc.'s NPI (National Provider Identifier) Number is 1891723938. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jerry Shafer Phd Inc.'s facilities are geographically located?

The facilities of Jerry Shafer Phd Inc. are physically situated at the following location: 3240 Lone Tree Way, Antioch, CA, 945095559.

What is Jerry Shafer Phd Inc.'s area of expertise and its corresponding taxonomy classification?

The Jerry Shafer Phd Inc.'s field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Jerry Shafer Phd Inc. receive its 1891723938 assignment from the Centers for Medicare & Medicaid Services?

The Jerry Shafer Phd Inc. was assigned its 1891723938 by the Centers for Medicare & Medicaid Services on 2006-06-29.

As of what date was the information regarding Jerry Shafer Phd Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jerry Shafer Phd Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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