Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PS-002053-L | PA |
Y | 103TC0700X | Clinical Psychologist | PS-002053-L | PA |
N | 103TS0200X | School Psychologist | PA |
NPI | 1043239668 |
---|---|
Provider Name | Dr. Stephen Paul Schachner |
First Address | Pittsburgh, PA 15213-2744 |
Second Address | Pittsburgh, PA 15213-2744 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 08/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
R06922 | (02) |