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Individual

PATRICK J SCHONBACHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HSPP

Contact information

Practice address
2621 E JEFFERSON ST, ATTN: ANNE LAWSON, WARSAW, IN 46580-3880
(574) 269-0573
(574) 269-0573
Mailing address
21909 N 72ND DR, GLENDALE, AZ 85310-5261
(812) 320-7681

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041467A
IN
103TC0700X
Clinical Psychologist
4603
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200233310A
IN
Enumeration date
11/21/2005
Last updated
08/01/2017
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