Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 21639 | CA |
Y | 103TC0700X | Clinical Psychologist | 21639 | CA |
NPI | 1013100288 |
---|---|
Provider Name | Brooke Schauder |
First Address | Mountain View, CA 94040-4378 |
Second Address | Mountain View, CA 94040-4378 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2007 |
Last Update Date | 07/10/2021 |