Organization
SUE SHAFFER PHD LLC
Active
Organization
SUE SHAFFER PHD LLC
Active
Other names
SUE SHAFFER PHD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DEBORAH SHAFFER PHD, LCMHC (OWNER)
(802) 582-6750
Entity
Organization
Contact information
Practice address
3 MAIN ST STE 108, BURLINGTON, VT 05401-5216
(802) 582-6750
Mailing address
3 MAIN ST STE 108, BURLINGTON, VT 05401-5216
(802) 582-6750
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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