MEDICARE: MR. DAVID PAUL SCHAFFER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LCS 18350	CA

General Provider Information

NPI Number	:	1326025107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID PAUL SCHAFFER LCSW

Provider Business Mailing Address
First Line	:	5661 CHANDLER RD
Second Line	:
City	:	QUINCY
State	:	CA
Zip	:	95971-9147
Country	:	US
Telephone Number	:	530-284-6935
Fax Number	:

Provider Business Practice Location Address
First Line	:	5661 CHANDLER RD
Second Line	:
City	:	QUINCY
State	:	CA
Zip	:	95971-9147
Country	:	US
Telephone Number	:	530-284-6935
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	01/08/2014

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