Healthcare Provider Details

I. General information

NPI: 1326025107
Provider Name (Legal Business Name): DAVID PAUL SCHAFFER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2005
Last Update Date: 01/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5661 CHANDLER RD
QUINCY CA
95971-9147
US

IV. Provider business mailing address

5661 CHANDLER RD
QUINCY CA
95971-9147
US

V. Phone/Fax

Practice location:
  • Phone: 530-284-6935
  • Fax:
Mailing address:
  • Phone: 530-284-6935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCS 18350
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: