Organization
SCHAFFER PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY V SCHAFFER PH.D (OWNER/PSYCHOLOGIST)
(440) 972-0454
Entity
Organization
Contact information
Practice address
6817 KIRKWOOD DR, MENTOR, OH 44060-4205
(440) 972-0454
(440) 972-0459
Mailing address
PO BOX 570, GRAND RIVER, OH 44045-0570
(440) 972-0454
(440) 972-0459
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5034
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236935
—
OH
01
—
1679501563
INDIVIDUAL NPI
OH
01
—
DD9733
RAILROAD MEDICARE
OH
Enumeration date
04/14/2008
Last updated
06/23/2008
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