Provider Demographics
NPI:1144609934
Name:SCHOEPHOERSTER, ALICIA RENEE (DBH, LMSW)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:RENEE
Last Name:SCHOEPHOERSTER
Suffix:
Gender:F
Credentials:DBH, LMSW
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:RENEE
Other - Last Name:WYCOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 27953
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85726-7953
Mailing Address - Country:US
Mailing Address - Phone:520-334-8455
Mailing Address - Fax:
Practice Address - Street 1:1601 W SAINT MARYS RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2623
Practice Address - Country:US
Practice Address - Phone:520-872-4353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker