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General NPI Number Information
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NPI Number | 1043644875
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Entity Type | Individual
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Provider Name | PETER SCHEUFELE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 08/28/2013
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 2500 GRANT RD ECH 133
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4302
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Country | US
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Telephone | 650-988-8328
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Fax | 650-988-7833
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Provider Business Mailing Address
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Address Line | 939 ROBIN WAY
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City | SUNNYVALE
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State | CA
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Zip | 94087-1522
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Country | US
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Telephone | 408-530-8821
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20795
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License Number State | CA
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