MEDICARE: DR. ERIC M SCHOENFELD 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
1	103TC0700X	Clinical Psychologist	PY6056	FL

General Provider Information

NPI Number	:	1932267879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC M SCHOENFELD PH.D.

Provider Business Mailing Address
First Line	:	7625 RED RIVER ROAD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411
Country	:	US
Telephone Number	:	561-596-4565
Fax Number	:

Provider Business Practice Location Address
First Line	:	7625 RED RIVER RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-5812
Country	:	US
Telephone Number	:	561-596-4565
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	07/08/2007

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