Shaffer, Stuart M
Shaffer, Stuart M is an individual health care provider with primary practice located at 753 W Basin St , San Pedro CA 90731-1301. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Shaffer, Stuart M can be contacted via phone (310) 548-6868.Contact Information
Primary practice address
753 W Basin St
San Pedro CA 90731-1301
Phone: (310) 548-6868
Fax: (310) 548-6833
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY5613 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY5613 | California |
Profile Details
NPI number | 1366588675 |
---|---|
LBN Legal business name | Shaffer, Stuart M |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2007 |
Last updated | Mar 5th, 2024 - about last year |
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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