Individual
DR. LISA BROOKE SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1489 W WARM SPRINGS RD, STE 110, HENDERSON, NV 89014-7367
(702) 806-8618
(800) 567-4105
Mailing address
1489 W WARM SPRINGS RD, STE 110, HENDERSON, NV 89014-7367
(702) 806-8618
(800) 567-4105
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0498
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510783
—
NV
Enumeration date
11/27/2006
Last updated
06/11/2020
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