NPI 1629115415

Shaffer Psychological Institute

Organisation Psychologist San Pedro, CA

Practice location

Address: 753 W Basin St, San Pedro, CA 90731-1301
Phone: (310) 548-6868
Fax: (310) 548-6833

Authorised official

Name: Stuart M Shaffer
Title: Owner
Phone: (310) 548-6868

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY 5613 (CA)

Other Psychologist providers in California →

Registry record

NPI: 1629115415
Entity type: Organization
NPI issued: 31 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.