Provider Demographics
NPI:1063629616
Name:SCHUPPEL, ROBERT (LPCC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:SCHUPPEL
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8401 CHAGRIN RD STE 14B
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-4702
Mailing Address - Country:US
Mailing Address - Phone:440-543-3400
Mailing Address - Fax:440-543-2287
Practice Address - Street 1:8401 CHAGRIN RD STE 14B
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-4702
Practice Address - Country:US
Practice Address - Phone:440-543-3400
Practice Address - Fax:440-543-2287
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0002490101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional