Individual
MRS. CHAUNTEL SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
40 DEVEREUX WAY, RED HOOK, NY 12571-2268
(845) 758-1899
Mailing address
5 JANE ST, POUGHKEEPSIE, NY 12603-5211
(845) 705-1054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
58 020932
NY
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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