Healthcare Provider Details

I. General information

NPI: 1629016605
Provider Name (Legal Business Name): HEATHER BREWIS SCHEFFLER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 07/14/2020
Certification Date: 07/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 EAST ST STE 106
PITTSBORO NC
27312-8863
US

IV. Provider business mailing address

PO BOX 1372
PITTSBORO NC
27312-1372
US

V. Phone/Fax

Practice location:
  • Phone: 919-548-5612
  • Fax: 919-535-9247
Mailing address:
  • Phone: 919-548-5612
  • Fax: 919-535-9247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2634
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: