| NPI | 1023368016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RAUBY SHAFFER Clinic Manager 605-692-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: SD 472) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |