Doctor Name: | COADY SCHUELER |
NPI Number: | 1417130840 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 326616-2501 |
Business Practice Address: | 251 West Weber Canyon Road Oakley, UT - 840550357 |
Business Phone Number: | 4357835001 |
Business Fax Number: | |
Mailing Address: | 251 West Weber Canyon Road, OAKLEY |
State: | UT |
Postal Code: | 840550357 |
Phone Number: | 4357835001 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2007 |
NPI Last Update Date: | 12/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 326616-2501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |