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NPI Code Detail

MEDICARE: DR. CAITLIN DAVIES SCHRAUFNAGEL PH.D.

MEDICARE: DR. CAITLIN DAVIES SCHRAUFNAGEL PH.D.
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
1103TC0700XClinical Psychologist32783TX

General Provider Information

NPI Number : 1871699967
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAITLIN DAVIES SCHRAUFNAGEL PH.D.
Provider Business Mailing Address
First Line : 1380 RIVER BEND DR
Second Line :
City : DALLAS
State : TX
Zip : 75247-4914
Country : US
Telephone Number : 214-743-6146
Fax Number :
Provider Business Practice Location Address
First Line : 1380 RIVER BEND DR
Second Line :
City : DALLAS
State : TX
Zip : 75247-4914
Country : US
Telephone Number : 214-743-6146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 01/19/2016

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