Healthcare Provider Details

I. General information

NPI: 1699839027
Provider Name (Legal Business Name): MISS SHEAFFER LAPHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 HAIGHT ST
SAN FRANCISCO CA
94102-6127
US

IV. Provider business mailing address

2216 ASHBY AVE APT. A
BERKELEY CA
94705-1933
US

V. Phone/Fax

Practice location:
  • Phone: 415-554-1480
  • Fax: 415-241-5599
Mailing address:
  • Phone: 415-740-5872
  • Fax: 415-241-5599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: