Provider Demographics
NPI:1962468017
Name:SCHAFFER, GILDA (PSYD, LCPC, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:GILDA
Middle Name:
Last Name:SCHAFFER
Suffix:
Gender:F
Credentials:PSYD, LCPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 HOLLYWOOD BLVD, SUITE 401
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020
Mailing Address - Country:US
Mailing Address - Phone:847-380-0497
Mailing Address - Fax:
Practice Address - Street 1:2500 HOLLYWOOD BLVD, SUITE 401
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020
Practice Address - Country:US
Practice Address - Phone:847-380-0497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2019-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYMH006537101YM0800X
IL180006683101YP2500X
FLMH13927101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional