Shaffer, Philip

Shaffer, Philip is an sole proprietor health care provider with primary practice located at 180 Martin Dr , Carrollton GA 30117-2425. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Shaffer, Philip can be contacted via phone (404) 321-6111.

Contact Information

Primary practice address
180 Martin Dr Carrollton GA 30117-2425
Phone: (404) 321-6111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6951 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6951 Ohio
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 6951 Ohio

Profile Details

NPI number 1649588690
LBN Legal business name Shaffer, Philip
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2010
Last updated Mar 26th, 2015 - about 10 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.

Request for update

Popular Providers