Individual
DR. CARLA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
17 E MAIN ST, RICHMOND, VA 23219-2109
(804) 495-0676
Mailing address
17 E MAIN ST, RICHMOND, VA 23219-2109
(804) 495-0676
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810005414
VA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0810005414
VA
Other
Enumeration date
07/12/2016
Last updated
07/21/2022
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