Healthcare Provider Details

I. General information

NPI: 1174959761
Provider Name (Legal Business Name): KRISTEN FRIEDRICH SCHAFFNER PHD, NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2013
Last Update Date: 04/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 FREDERICK AVE
SEWICKLEY PA
15143-1523
US

IV. Provider business mailing address

424 FREDERICK AVE
SEWICKLEY PA
15143-1523
US

V. Phone/Fax

Practice location:
  • Phone: 412-741-4087
  • Fax:
Mailing address:
  • Phone: 412-741-4087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: