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NPI Code Detail

MEDICARE: DR. STEPHEN JOSEPH SCHUETZ PH.D

MEDICARE: DR. STEPHEN JOSEPH SCHUETZ 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
1103T00000XPsychologist590OR

General Provider Information

NPI Number : 1922071927
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN JOSEPH SCHUETZ PH.D
Provider Business Mailing Address
First Line : 1800 NW GARFIELD AVE
Second Line :
City : CORVALLIS
State : OR
Zip : 97330-2536
Country : US
Telephone Number : 541-753-6833
Fax Number :
Provider Business Practice Location Address
First Line : 530 NW 27TH ST
Second Line :
City : CORVALLIS
State : OR
Zip : 97330-5223
Country : US
Telephone Number : 541-753-6833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 06/02/2011

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