Jerry Shafer PHD Inc.

NPI #1891723938 in Antioch, California

Provider Information

NPI Number: 1891723938
Entity Type: Organization
Organization Name: Jerry Shafer PHD Inc.
Primary Specialty: Psychologist
Enumeration Date: Jun 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3240 LONE TREE WAY
Address 2: #104
City: Antioch
State: California
ZIP Code: 94509-5559
Phone: (925) 778-1661

Authorized Official

Name: DR. JERRY SHAFER, PHD
Title: PSYCHOLOGIST
Phone: (925) 778-1661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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