Provider Demographics
NPI:1942356894
Name:SCHAFFER, SARAH KIMZEY (PHD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:KIMZEY
Last Name:SCHAFFER
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 1:220 W LEOTA ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-6293
Mailing Address - Country:US
Mailing Address - Phone:308-534-4872
Mailing Address - Fax:308-534-5653
Practice Address - Street 1:220 W LEOTA ST
Practice Address - Street 2:SUITE 200
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6293
Practice Address - Country:US
Practice Address - Phone:308-534-4872
Practice Address - Fax:308-532-0389
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE675103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025443100Medicaid
NE81132OtherBLUE CROSS & BLUE SHIELD
NE280866Medicare PIN