Provider Demographics
NPI:1164823290
Name:SCHUET, TANYA MARCELLA (MSW INTERN)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:MARCELLA
Last Name:SCHUET
Suffix:
Gender:F
Credentials:MSW INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 MARY CT
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-4532
Mailing Address - Country:US
Mailing Address - Phone:408-316-1004
Mailing Address - Fax:
Practice Address - Street 1:823 MARY CT
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-4532
Practice Address - Country:US
Practice Address - Phone:408-316-1004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker