Provider Demographics
NPI:1992809347
Name:TAFFEL, SHIRLEY ANN (PSYCHOLOGIST)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:ANN
Last Name:TAFFEL
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
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Other - First Name:
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Mailing Address - Street 1:417 BILTMORE AVENUE
Mailing Address - Street 2:SUITE 5C
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801
Mailing Address - Country:US
Mailing Address - Phone:828-253-1004
Mailing Address - Fax:828-253-1456
Practice Address - Street 1:14 HOOT OWL RD
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-8721
Practice Address - Country:US
Practice Address - Phone:828-253-1004
Practice Address - Fax:828-412-5566
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2491103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0434LOtherBLUE CROSS BS
6193924OtherUNITED HEALTH CARE
NC2819758BOtherMEDICARE PTAN