Schaffer, Mary
Schaffer, Mary is an sole proprietor health care provider with primary practice located at 6817 Kirkwood Dr , Mentor OH 44060-4205. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Schaffer, Mary can be contacted via phone (440) 972-0454.Contact Information
Primary practice address
6817 Kirkwood Dr
Mentor OH 44060-4205
Phone: (440) 972-0454
Fax: (440) 972-0459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 5034 | Ohio |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | P.5034 | Ohio |
Profile Details
| NPI number | 1679501563 |
|---|---|
| LBN Legal business name | Schaffer, Mary |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Nov 4th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679501563 | NPPES |
| Ohio | Other | 1629242417 | GROUP NPI |
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