| Jerry Shafer Phd Inc. | |
|
3240 Lone Tree Way #104 Antioch CA 94509-5559 | |
| (925) 778-1661 | |
| (925) 778-1661 |
| Full Name | Jerry Shafer Phd Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 3240 Lone Tree Way, Antioch, California |
| Authorized Official Name and Position | Jerry Shafer (PSYCHOLOGIST) |
| Authorized Official Contact | 9257781661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Shafer Phd Inc. 3240 Lone Tree Way #104 Antioch CA 94509-5559 Ph: (925) 778-1661 | Jerry Shafer Phd Inc. 3240 Lone Tree Way #104 Antioch CA 94509-5559 Ph: (925) 778-1661 |
| NPI Number | 1891723938 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891723938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY3395 (California) | Primary |
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