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General NPI Number Information
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NPI Number | 1144246109
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Entity Type | Individual
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Provider Name | MICHAEL ARTHUR SCHAEFER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 245 HAIRSTON ST
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City | DANVILLE
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State | VA
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Zip | 24540-4137
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Country | US
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Telephone | 336-263-7199
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Fax | 336-578-2794
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Provider Business Mailing Address
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Address Line | PO BOX 1
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City | CEDAR GROVE
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State | NC
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Zip | 27231-0001
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Country | US
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Telephone | 336-263-7199
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Fax | 336-578-2794
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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 | 0810002869
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License Number State | VA
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