Doctor Name: | DR. KATHLEEN M SCHOENDORF |
NPI Number: | 1023174778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 1437-057 |
Business Practice Address: | 12690 W North Avenue Elmbrook Family Counseling Center Brookfield, WI - 53005 |
Business Phone Number: | 2627859188 |
Business Fax Number: | 2627850644 |
Mailing Address: | 12690 W North Avenue, Elmbrook Family Counseling Center BROOKFIELD |
State: | WI |
Postal Code: | 53005 |
Phone Number: | 2627859188 |
Fax Number: | 2627850644 |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1437-057 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |