Organization
JERRY SHAFER PHD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY SHAFER PHD (PSYCHOLOGIST)
(925) 778-1661
Entity
Organization
Contact information
Practice address
3240 LONE TREE WAY, #104, ANTIOCH, CA 94509-5559
(925) 778-1661
(925) 778-1661
Mailing address
3240 LONE TREE WAY, #104, ANTIOCH, CA 94509-5559
(925) 778-1661
(925) 778-1661
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY3395
CA
Other
Enumeration date
06/29/2006
Last updated
08/22/2020
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