Provider Demographics
NPI:1427212596
Name:DEBRA SCHAAF, PH.D.
Entity Type:Organization
Organization Name:DEBRA SCHAAF, PH.D.
Other - Org Name:DEBRA NEFF SCHAAF, PH.D.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SOLE PROPRIETER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:NEFF
Authorized Official - Last Name:SCHAAF
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-697-4808
Mailing Address - Street 1:7 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-2974
Mailing Address - Country:US
Mailing Address - Phone:301-724-5544
Mailing Address - Fax:301-724-3361
Practice Address - Street 1:7 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2974
Practice Address - Country:US
Practice Address - Phone:301-724-5544
Practice Address - Fax:301-724-3361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04380103T00000X
PAPS006549L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015703750003Medicaid
PA077677OtherMEDICARE
MD008229501Medicaid
PA077677OtherMEDICARE