Healthcare Provider Details

I. General information

NPI: 1780717447
Provider Name (Legal Business Name): BIANCA MARIA SCHAEFER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 MAPLE AVE
SARATOGA SPRINGS NY
12866-5544
US

IV. Provider business mailing address

210 FEATHERWOOD CT
SCHENECTADY NY
12303-5704
US

V. Phone/Fax

Practice location:
  • Phone: 518-587-4161
  • Fax: 518-587-5134
Mailing address:
  • Phone: 515-428-6061
  • Fax: 518-356-1834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number015972-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: