Individual
MS. STEPHANIE SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2000 W STANFIELD RD, TROY, OH 45373-2572
(937) 339-5100
Mailing address
4412 OLD SALEM RD, ENGLEWOOD, OH 45322-2638
(937) 339-5100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
UD1013847
OH
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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