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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