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JACK B SCHAFFER PHD PA NPI 1891964086


NPI Information

NPI: 1891964086
Provider Name: JACK B SCHAFFER PHD PA
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
1790 GOODRICH AVE
SAINT PAUL, MN
ZIP 55105
Phone: (651) 699-4751
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JACK B SCHAFFER PHD PA is a clinical neuropsychologist in Saint Paul, MN. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. JACK B SCHAFFER PHD PA NPI is 1891964086. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1790 GOODRICH AVE
SAINT PAUL, MN
ZIP 55105-907
Phone: (651) 699-4751

The provider's authorized official is Jack B Schaffer .
The authorized official title is President and has the following contact phone number (651) 699-4751.

The enumeration date for this NPI number is 2/21/2008 and was last updated on 2/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistLP0311MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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