Doctor Name: | ROXANNA SHEAFFER |
NPI Number: | 1972770964 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 1575 |
Business Practice Address: | 600 Caisson Hill Rd Ft Riley, KS - 664427037 |
Business Phone Number: | 7852397208 |
Business Fax Number: | |
Mailing Address: | 2421 Fox Sparrow Ct, JUNCTION CITY |
State: | KS |
Postal Code: | 664412689 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/09/2008 |
NPI Last Update Date: | 05/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1575 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |