Individual
DR. PHILIP SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
180 MARTIN DR, CARROLLTON, GA 30117-2425
(404) 321-6111
Mailing address
180 MARTIN DR, CARROLLTON, GA 30117-2425
(404) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6951
OH
103TC1900X
Counseling Psychologist
Primary
6951
OH
103TP2701X
Group Psychotherapy Psychologist
6951
OH
Other
Enumeration date
09/23/2010
Last updated
03/26/2015
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