Healthcare Provider Details

I. General information

NPI: 1639913866
Provider Name (Legal Business Name): MICHELE SHAEFFER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2024
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1335 N CABLE RD
LIMA OH
45805-1407
US

IV. Provider business mailing address

1335 N CABLE RD
LIMA OH
45805-1407
US

V. Phone/Fax

Practice location:
  • Phone: 725-304-2603
  • Fax: 419-516-4881
Mailing address:
  • Phone: 725-304-2603
  • Fax: 419-516-4881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: