Doctor Name: | MRS. WENDY RENEE SCHAEFFER |
NPI Number: | 1164713582 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | P1306065 |
Business Practice Address: | 2607 Caddo St Suite 6 Arkadelphia, AR - 719235307 |
Business Phone Number: | 8702308217 |
Business Fax Number: | 8702308201 |
Mailing Address: | 2508 Wilshire Dr, ARKADELPHIA |
State: | AR |
Postal Code: | 719235436 |
Phone Number: | 8702457729 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2011 |
NPI Last Update Date: | 10/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | P1306065 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |