MEDICARE: DR. SHIRLEY F SHIFF PSYD HSPP

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	103TC0700X	Clinical Psychologist	20040729	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00249943	OTHER	IN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982732491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHIRLEY F SHIFF PSYD HSPP

Provider Business Mailing Address
First Line	:	8424 VICTORIA WOODS PL
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-6510
Country	:	US
Telephone Number	:	260-489-0292
Fax Number	:	260-489-3060

Provider Business Practice Location Address
First Line	:	8424 VICTORIA WOODS PL
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-6510
Country	:	US
Telephone Number	:	260-489-0292
Fax Number	:	260-489-3060

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

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	08/16/2007

Similar Medicare Providers

1003666470 — AEDEN J LIGON
Practice Location Address:

9216 CRYSTAL SPRING DR
FORT WAYNE, IN
46804-6510

Practice Phone: 765-480-9828
Practice Fax:

1740179480 — HARMON ADKINS
Practice Location Address:

881 TOMS CREEK RD
WAYNE, WV
25570-6510

Practice Phone: 304-840-2903
Practice Fax:

1558439794 — LAKEFRONT PHARMACY
Practice Location Address:

6510 SPANISH FORT BLVD
NEW ORLEANS, LA
70124-4322

Practice Phone: 504-283-2926
Practice Fax: 504-283-2927

1164924429 — ERIN DOWD
Practice Location Address:

6510 MCVEIGH DR BLDG 83
FORT BENNING, GA
31905-6214

Practice Phone: 252-367-6434
Practice Fax:

1851955702 — DR. JERMYN M. JAVIER D.D.S.
Practice Location Address:

9250 6 MILE CYPRESS PKWY
FORT MYERS, FL
33966-6510

Practice Phone: 239-317-0560
Practice Fax:

1093385940 — COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Practice Location Address:

9250 6 MILE CYPRESS PKWY
FORT MYERS, FL
33966-6510

Practice Phone: 239-933-1610
Practice Fax:

Directions to “ DR. SHIRLEY F SHIFF PSYD HSPP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.