Shaffer, Stuart M

Shaffer, Stuart M is an individual health care provider with primary practice located at 753 W Basin St , San Pedro CA 90731-1301. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Shaffer, Stuart M can be contacted via phone (310) 548-6868.

Contact Information

Primary practice address
753 W Basin St San Pedro CA 90731-1301
Phone: (310) 548-6868
Fax: (310) 548-6833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY5613 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY5613 California

Profile Details

NPI number 1366588675
LBN Legal business name Shaffer, Stuart M
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Mar 5th, 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.

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