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Organization
CARLA M. SHAFFER, PHD., LLC
Active
Organization
CARLA M. SHAFFER, PHD., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLA SHAFFER PHD., LCP (LICENSED CLINICAL PSYCHOLOGIST)
(804) 873-8755
Entity
Organization
Contact information
Practice address
17 E MAIN ST, #3, RICHMOND, VA 23219-2109
(804) 495-0676
Mailing address
3649 STONE HARBOR DR, MIDLOTHIAN, VA 23113-9200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810005414
VA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0810005414
VA
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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