Provider Demographics
NPI:1487617452
Name:SCHIPPERS, LOUIS (PHD)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:
Last Name:SCHIPPERS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 SCHOOL ST
Mailing Address - Street 2:#14
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-2068
Mailing Address - Country:US
Mailing Address - Phone:781-834-0747
Mailing Address - Fax:781-834-0763
Practice Address - Street 1:475 SCHOOL ST
Practice Address - Street 2:#14
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-2068
Practice Address - Country:US
Practice Address - Phone:781-834-0747
Practice Address - Fax:781-834-0763
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA120101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW01692Medicare ID - Type Unspecified