Individual
LAURA A. SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903-2824
(434) 924-0123
(434) 243-3300
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005210
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201180320
—
KS
05
—
7100296160
—
KY
Enumeration date
04/19/2007
Last updated
10/15/2020
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