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NPI Code Detail

MEDICARE: CHARLES JOHN SCHAEFER PH.D.

MEDICARE:   CHARLES JOHN SCHAEFER  PH.D.
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
1103TC0700XClinical Psychologist4542-2TX

General Provider Information

NPI Number : 1598950529
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES JOHN SCHAEFER PH.D.
Provider Business Mailing Address
First Line : 4355 SYLVANFIELD DR STE 210
Second Line :
City : HOUSTON
State : TX
Zip : 77014-1649
Country : US
Telephone Number : 281-440-9098
Fax Number :
Provider Business Practice Location Address
First Line : 4355 SYLVANFIELD DR STE 210
Second Line :
City : HOUSTON
State : TX
Zip : 77014-1649
Country : US
Telephone Number : 281-440-9098
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2007
Last Update Date : 09/12/2007

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Directions to “ CHARLES JOHN SCHAEFER PH.D.” Practice Location

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