Provider Demographics
NPI:1205986031
Name:BARBARA W. SHAFFER PH.D. & ASSOCIATES
Entity type:Organization
Organization Name:BARBARA W. SHAFFER PH.D. & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:W
Authorized Official - Last Name:SHAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:610-388-2233
Mailing Address - Street 1:PO BOX 222
Mailing Address - Street 2:
Mailing Address - City:MENDENHALL
Mailing Address - State:PA
Mailing Address - Zip Code:19357-0222
Mailing Address - Country:US
Mailing Address - Phone:610-388-2233
Mailing Address - Fax:610-388-2163
Practice Address - Street 1:455 OLD BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9444
Practice Address - Country:US
Practice Address - Phone:610-388-2233
Practice Address - Fax:610-388-2163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAP-005890-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASH673788Medicare ID - Type Unspecified