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NPI Code Detail

MEDICARE: CAROL SCHIEFFER M.S., LPC

MEDICARE: CAROL SCHIEFFER M.S., LPC
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
1101YP2500XProfessional Counselor19421TX

General Provider Information

NPI Number : 1124194485
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL SCHIEFFER M.S., LPC
Provider Business Mailing Address
First Line : 1300 W LANCASTER AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-3410
Country : US
Telephone Number : 817-336-8611
Fax Number :
Provider Business Practice Location Address
First Line : 1300 W LANCASTER AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-3410
Country : US
Telephone Number : 817-336-8611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 07/08/2007

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