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NPI Code Detail

MEDICARE: LEON JOSEPH SCHOFIELD PHD

MEDICARE:   LEON JOSEPH SCHOFIELD  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

General Provider Information

NPI Number : 1760431043
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEON JOSEPH SCHOFIELD PHD
Provider Business Mailing Address
First Line : 20 MOUNTAIN RISE
Second Line :
City : FAIRPORT
State : NY
Zip : 14450-3250
Country : US
Telephone Number : 585-425-4492
Fax Number :
Provider Business Practice Location Address
First Line : 465 CROSS KEYS OFFICE PARK
Second Line :
City : FAIRPORT
State : NY
Zip : 14450-3506
Country : US
Telephone Number : 585-425-2480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2006
Last Update Date : 07/08/2007

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