Kaufman, Shelley S
Kaufman, Shelley S is an sole proprietor health care provider with primary practice located at 17505 N 79Th Ave Suite 315, Glendale AZ 85308-8725. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kaufman, Shelley S can be contacted via phone (602) 257-0560.Contact Information
Primary practice address
17505 N 79Th Ave Suite 315
Glendale AZ 85308-8725
Phone: (602) 257-0560
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1389 | Arizona |
Profile Details
| NPI number | 1740248376 |
|---|---|
| LBN Legal business name | Kaufman, Shelley S |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Dec 30th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740248376 | NPPES |
| Arizona | Other | ZPHD1389 | PTAN |
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