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NPI Code Detail

MEDICARE: MRS. MICHELLE L SCHAFFER MA

MEDICARE:  MRS. MICHELLE L SCHAFFER  MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorE0003344OH

General Provider Information

NPI Number : 1063490241
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE L SCHAFFER MA
Provider Business Mailing Address
First Line : 3095 KETTERING BLVD
Second Line :
City : MORAINE
State : OH
Zip : 45439-1983
Country : US
Telephone Number : 937-293-8300
Fax Number : 937-534-1347
Provider Business Practice Location Address
First Line : 3095 KETTERING BLVD
Second Line :
City : MORAINE
State : OH
Zip : 45439-1983
Country : US
Telephone Number : 937-293-8300
Fax Number : 937-534-1347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 10/31/2012

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Directions to “ MRS. MICHELLE L SCHAFFER MA” Practice Location

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