Healthcare Provider Details

I. General information

NPI: 1487601563
Provider Name (Legal Business Name): SAUNDRA LEE SCHOICKET PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

561 W CHOCOLATE AVE
HERSHEY PA
17033-1676
US

IV. Provider business mailing address

1082 DERRY WOODS DR
HUMMELSTOWN PA
17036-9715
US

V. Phone/Fax

Practice location:
  • Phone: 717-534-1808
  • Fax: 717-534-6599
Mailing address:
  • Phone: 717-534-1808
  • Fax: 717-534-6599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number001973
License Number StateGA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1033521710001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 2
Identifier00702028A
Identifier TypeMEDICAID
Identifier StateGA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: