Healthcare Provider Details
I. General information
NPI: 1326374992
Provider Name (Legal Business Name): BARBARA R. SCHALL M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/02/2009
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 PRUSHNAK DRIVE SUITE 103
PUNXSUTAWNEY PA
15767-2344
US
IV. Provider business mailing address
403 BLAIR ST
PUNXSUTAWNEY PA
15767-2459
US
V. Phone/Fax
- Phone: 814-938-4444
- Fax: 814-938-3313
- Phone: 814-952-6707
- Fax: 724-465-6379
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | BH0002349 |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: