Provider Demographics
NPI:1952809535
Name:SHEFFER PSYCHOLOGICAL SERVICES, LLC
Entity Type:Organization
Organization Name:SHEFFER PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:SHEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-807-6236
Mailing Address - Street 1:302 HARDING AVE
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-1767
Mailing Address - Country:US
Mailing Address - Phone:847-807-6236
Mailing Address - Fax:
Practice Address - Street 1:34 W GRAND AVE STE 101
Practice Address - Street 2:
Practice Address - City:FOX LAKE
Practice Address - State:IL
Practice Address - Zip Code:60020-1224
Practice Address - Country:US
Practice Address - Phone:847-376-0125
Practice Address - Fax:847-376-0125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-29
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071008931103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty