Provider Demographics
NPI:1932285244
Name:SCHAFFER, NORMAN DAVID (PHD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:DAVID
Last Name:SCHAFFER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 CHERRY BND
Mailing Address - Street 2:
Mailing Address - City:MERION STATION
Mailing Address - State:PA
Mailing Address - Zip Code:19066-1506
Mailing Address - Country:US
Mailing Address - Phone:610-715-2655
Mailing Address - Fax:610-664-5196
Practice Address - Street 1:337 CHERRY BND
Practice Address - Street 2:
Practice Address - City:MERION STATION
Practice Address - State:PA
Practice Address - Zip Code:19066-1506
Practice Address - Country:US
Practice Address - Phone:610-715-2655
Practice Address - Fax:610-664-5196
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005558L103TC0700X
NJ35SI00304100103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical