Individual
MRS. AMY E SHAFFRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M/SLP
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
124026
AK
235Z00000X
Speech-Language Pathologist
2202007410
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4978218
—
VA
Enumeration date
12/22/2015
Last updated
08/11/2025
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