MEDICARE: VONDA KAY SCHAEFER M.F.T.

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
1	106H00000X	Marriage & Family Therapist	43545	CA

General Provider Information

NPI Number	:	1831315928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VONDA KAY SCHAEFER M.F.T.

Provider Business Mailing Address
First Line	:	1483 AALBORG WAY
Second Line	:
City	:	SOLVANG
State	:	CA
Zip	:	93463-2001
Country	:	US
Telephone Number	:	805-688-0203
Fax Number	:	805-688-9857

Provider Business Practice Location Address
First Line	:	2900 NOJOQUI AVENUE
Second Line	:	SUITE I
City	:	LOS OLIVOS
State	:	CA
Zip	:	93441
Country	:	US
Telephone Number	:	805-688-0203
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	07/08/2007

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