Provider Demographics
NPI:1073715173
Name:SCHACHTEL, BARD (PHD, LPC, CEAP,LMFT)
Entity Type:Individual
Prefix:DR
First Name:BARD
Middle Name:
Last Name:SCHACHTEL
Suffix:
Gender:M
Credentials:PHD, LPC, CEAP,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6834 DELMETA DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-5528
Mailing Address - Country:US
Mailing Address - Phone:972-387-2711
Mailing Address - Fax:972-387-2711
Practice Address - Street 1:11311 N CENTRAL EXPY STE 208
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6729
Practice Address - Country:US
Practice Address - Phone:972-849-1335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8877101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health