Provider Demographics
NPI:1487243911
Name:SHEFFER, KATHERINE (MED NCSP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:SHEFFER
Suffix:
Gender:F
Credentials:MED NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 MCELWAIN DR
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03052-2328
Mailing Address - Country:US
Mailing Address - Phone:603-424-2133
Mailing Address - Fax:
Practice Address - Street 1:19 MCELWAIN DR
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:NH
Practice Address - Zip Code:03052-2328
Practice Address - Country:US
Practice Address - Phone:603-424-2133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool