Individual
MARY SCHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
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) 477-6392
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P.5034
OH
103TC0700X
Clinical Psychologist
5034
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629242417
GROUP NPI
OH
Enumeration date
06/29/2006
Last updated
11/04/2024
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