Individual
TIMOTHY WILLIAM SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LMFT
Contact information
Practice address
4414 N 19TH AVE, PHOENIX, AZ 85015-4114
(602) 285-5550
(602) 285-5551
Mailing address
4414 N 19TH AVE, PHOENIX, AZ 85015-4114
(602) 285-5550
(602) 285-5551
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-15888
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15888
LICENSE
AZ
Enumeration date
02/11/2021
Last updated
07/11/2025
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