Doctor Name: | MRS. SHEILA BOULER PFAFFMAN |
NPI Number: | 1578717021 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1534 |
Business Practice Address: | 409 North Walnut Avenue Demopolis, AL - 36732 |
Business Phone Number: | 3343417314 |
Business Fax Number: | |
Mailing Address: | Po Box 908, DEMOPOLIS |
State: | AL |
Postal Code: | 367320908 |
Phone Number: | 3343417314 |
Fax Number: | |
NPI Enumeration Date: | 11/11/2008 |
NPI Last Update Date: | 11/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1534 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |