Organization
ROBERT D SHAFFER
Active
Other names
Psychology & Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY CLARK M.A. (ADMINISTRATOR / THERAPIST)
(678) 995-5398
Entity
Organization
Contact information
Practice address
3905 JOHNS CREEK CT, SUITE 240, SUWANEE, GA 30024-1224
(678) 995-5398
Mailing address
3905 JOHNS CREEK CT, SUITE 240, SUWANEE, GA 30024-1224
(678) 995-5398
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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