Provider Demographics
NPI:1083759716
Name:SCHATZMAN, BARD (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARD
Middle Name:
Last Name:SCHATZMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7905 N PARADISE CANYON LN
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86315-9098
Mailing Address - Country:US
Mailing Address - Phone:630-476-0410
Mailing Address - Fax:866-386-1598
Practice Address - Street 1:7905 N PARADISE CANYON LN
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86315-9098
Practice Address - Country:US
Practice Address - Phone:630-476-0410
Practice Address - Fax:866-386-1598
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-005757101Y00000X
AZ005275103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor