Provider Demographics
NPI: | 1518949619 |
---|---|
Name: | SCHOFIELD, KAREN A (PHD) |
Entity type: | Individual |
Prefix: | |
First Name: | KAREN |
Middle Name: | A |
Last Name: | SCHOFIELD |
Suffix: | |
Gender: | F |
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: | 123 SUMNER AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | SOUTH ABINGTON TOWNSHIP |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 18411-2223 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 570-585-9822 |
Mailing Address - Fax: | 570-586-4218 |
Practice Address - Street 1: | 123 SUMNER AVE |
Practice Address - Street 2: | |
Practice Address - City: | SOUTH ABINGTON TOWNSHIP |
Practice Address - State: | PA |
Practice Address - Zip Code: | 18411-2223 |
Practice Address - Country: | US |
Practice Address - Phone: | 570-585-9822 |
Practice Address - Fax: | 570-586-4218 |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2005-11-16 |
Last Update Date: | 2025-01-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | PS003672L | 103T00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 103T00000X | Behavioral Health & Social Service Providers | Psychologist |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
2890148 | Other | AETNA | |
455885000 | Other | MAGELLAN BEHAVIORAL HLTH | |
PA | SC377134 | Other | HIGHMARK BLUE SHIELD |
055966 | Medicare ID - Type Unspecified | ||
2890148 | Other | AETNA |