Doctor Name: | MRS. MICHELE JEAN SCHUSTER |
NPI Number: | 1851642755 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED |
License Number: | 274314D |
Business Practice Address: | 3326 E Badger Rd Everson, WA - 982479232 |
Business Phone Number: | 3609882641 |
Business Fax Number: | |
Mailing Address: | 2347 E Pole Rd, EVERSON |
State: | WA |
Postal Code: | 982479745 |
Phone Number: | 3609882641 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2012 |
NPI Last Update Date: | 10/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | 274314D |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |