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DR. THOMAS RAUBY SHAFFER PH.D.

Clinical Neuropsychologist

Brookings, South Dakota

Provider NPI: 1770749442

Provider Information:
DR. THOMAS RAUBY SHAFFER PH.D.
Gender: M
Sole Proprietor


Practice Location:
1310 MAIN AVE S SUITE 9 BROOKINGS, SD 57006 US
Tel: 605-692-6367  Fax: 605-692-1883

Business Mailing Address:
PO BOX 931  BROOKINGS, SD 57006 US
Tel: 605-695-0651  Fax: 605-692-1883

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
SD472

Other Provider Identifiers:

IssuerNumberStateType
6552660SD05
MEDICARE PTAN/IDS10272901
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS SD - Page 1



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