| Doctor Name: | ERIC SCHAAT |
| NPI Number: | 1386077204 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMSW |
| License Number: | LMSW-28609 |
| Business Practice Address: | 3522 Briar Creek Ln Ammon, ID - 834064728 |
| Business Phone Number: | 2085291660 |
| Business Fax Number: | 2085291699 |
| Mailing Address: | Po Box 3858, IDAHO FALLS |
| State: | ID |
| Postal Code: | 834033858 |
| Phone Number: | 2085291660 |
| Fax Number: | 2085291699 |
| NPI Enumeration Date: | 08/14/2013 |
| NPI Last Update Date: | 08/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LMSW-28609 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |