| Doctor Name: | MR. WAYNE R SCHANTZENBACH |
| NPI Number: | 1285790923 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW, LMFT |
| License Number: | CS-004706-E |
| Business Practice Address: | 343 S 3rd St Coopersburg, PA - 180362111 |
| Business Phone Number: | 6102822575 |
| Business Fax Number: | 6102823076 |
| Mailing Address: | 343 S 3rd St, COOPERSBURG |
| State: | PA |
| Postal Code: | 180362111 |
| Phone Number: | 6102822575 |
| Fax Number: | 6102823076 |
| 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: | 1041C0700X |
| License Number: | CS-004706-E |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |