Shaffer, Lisa Brooke

Shaffer, Lisa Brooke is an individual health care provider with primary practice located at 1489 W Warm Springs Rd Ste 110, Henderson NV 89014-7367. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shaffer, Lisa Brooke can be contacted via phone (702) 806-8618.

Contact Information

Primary practice address
1489 W Warm Springs Rd Ste 110 Henderson NV 89014-7367
Phone: (702) 806-8618
Fax: (800) 567-4105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY0498 Nevada

Profile Details

NPI number 1033285572
LBN Legal business name Shaffer, Lisa Brooke
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Jun 11th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033285572 NPPES
Nevada MEDICAID 100510783

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