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Individual

DR. CHARLES SCHAEFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
31 WASHINGTON SQ W, SUITE 5R, NEW YORK, NY 10011-9126
(718) 577-1564
Mailing address
315 8TH AVE, APT 17, BROOKLYN, NY 11215-6621

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021761
NY
103TC1900X
Counseling Psychologist
021761
NY
103TH0004X
Health Psychologist
021761
NY

Other

Enumeration date
09/02/2016
Last updated
09/02/2016
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