Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 6301010360 | MI |
NPI | 1013093913 |
---|---|
Provider Name | Mrs. Patricia Lynn Schaeufele |
First Address | Allegan, MI 49010-1320 |
Second Address | Allegan, MI 49010-1320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 08/07/2007 |