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General NPI Number Information
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NPI Number | 1043188907
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Entity Type | Organization
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Legal Business Name | SHIFT THERAPY & ASSESSMENT, PLLC
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 8792 SE OVERAA RD
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City | PORT ORCHARD
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State | WA
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Zip | 98367-8657
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Country | US
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Telephone | 516-500-2065
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Fax |
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Provider Business Mailing Address
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Address Line | 8792 SE OVERAA RD
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City | PORT ORCHARD
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State | WA
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Zip | 98367-8657
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Country | US
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Telephone | 516-500-2065
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST, OWNER
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Name | DR. NADIA JAFARI
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Credential | PHD
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Telephone | 516-500-2065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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