MEDICARE: MRS. RUTH SHAEFFER LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC39298	CA

General Provider Information

NPI Number	:	1972728236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RUTH SHAEFFER LMFT

Provider Business Mailing Address
First Line	:	PO BOX 962
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93613-0962
Country	:	US
Telephone Number	:	559-299-9065
Fax Number	:

Provider Business Practice Location Address
First Line	:	3748 N 1ST ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-5601
Country	:	US
Telephone Number	:	559-272-1166
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	07/08/2007

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