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Individual

DR. TERESA INGRAM SCHAEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
6602 CHURCH HILL RD, SUITE 500, CHESTERTOWN, MD 21620-2310
(410) 778-5550
(410) 778-0984
Mailing address
6602 CHURCH HILL RD, SUITE 500, CHESTERTOWN, MD 21620-2310
(410) 778-5550
(410) 778-0984

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03590
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106333
AMERICAN PSYCH SYSTEM ID#
MD
01
276609
MAMSI ID#
MD
01
38923
JOHNS HOPKINS ID#
MD
01
415764
VALUE OPTIONS MIDATLANTIC
MD
01
61-56554
UBH ID#
MD
01
7125205
AETNA ID#
MD
01
720407
NCPPO ID#
MD
01
LT86-605427-02
BLUE CROS LOCAL GROUP #
MD
01
T418-0006
BLUE CROSS NAT ID#
MD
Enumeration date
08/22/2006
Last updated
07/08/2007
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