NPI 1568473569

Jack B. Schaffer, PHD

Practitioner Clinical Neuropsychologist Saint Paul, MN

Practice location

Address: 1790 Goodrich Ave, Saint Paul, MN 55105-1907
Phone: (651) 699-4751
Fax: (651) 699-0826

Registered specialties (3)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence LP0311 (MN)

Other Clinical Neuropsychologist providers in Minnesota →

Health Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TH0004X Licence LP0311 (MN)

Other Psychologist providers in Minnesota →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence LP0311 (MN)

Registry record

NPI: 1568473569
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2006
Record last updated: 15 Nov 2007

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.