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Individual

DR. LOIS SCHAFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
42627 GARFIELD RD, SUITE 216-C, CLINTON TOWNSHIP, MI 48038-5032
(586) 246-5164
(844) 621-4391
Mailing address
42627 GARFIELD RD, SUITE 216-C, CLINTON TOWNSHIP, MI 48038-5032
(586) 246-5164
(844) 621-4391

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301008020
MI
103TC0700X
Clinical Psychologist
Primary
6301008020
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301008020
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11409
M-CARE
MI
01
143624
PRIORITY HEALTH
MI
01
680E04600
BLUE CROSS BLUE SHEILD MI
MI
01
G2157173
VALUE OPTIONS
MI
01
P111686
BLUE CROSS NETWORK OF MI
MI
Enumeration date
10/20/2006
Last updated
05/12/2015
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