=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790737195
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DEBRA NEFF SCHAAF PHD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/16/2006
-----------------------------------------------------
Last Update Date | 02/08/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7 WASHINGTON ST
-----------------------------------------------------
City | CUMBERLAND
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21502-2974
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-724-5544
-----------------------------------------------------
Fax | 301-724-3361
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7 WASHINGTON ST
-----------------------------------------------------
City | CUMBERLAND
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21502-2974
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-724-5544
-----------------------------------------------------
Fax | 301-724-3361
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | PS006549L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | 04380
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------