| Doctor Name: | MS. ERIN BRIANA SHAFFER |
| NPI Number: | 1952767097 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 03564 |
| Business Practice Address: | 6304 Kenwood Avenue Evans Professional Building Suite 2a Balitmore, MD - 212374918 |
| Business Phone Number: | 4106877700 |
| Business Fax Number: | |
| Mailing Address: | 6304 Kenwood Avenue, Evans Professional Building Suite 2a BALITMORE |
| State: | MD |
| Postal Code: | 212374918 |
| Phone Number: | 4106877700 |
| Fax Number: | 4106877702 |
| NPI Enumeration Date: | 01/05/2016 |
| NPI Last Update Date: | 01/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 03564 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |