Provider Demographics
NPI:1437476124
Name:SCHOENEWOLF, REBECCA NANCY
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:NANCY
Last Name:SCHOENEWOLF
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:SCHOENEWOLF
Other - Last Name:FOLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:152 DEER HILL AVE
Mailing Address - Street 2:STE. 119
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810
Mailing Address - Country:US
Mailing Address - Phone:401-573-5440
Mailing Address - Fax:203-748-0100
Practice Address - Street 1:152 DEER HILL AVE
Practice Address - Street 2:STE. 119
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810
Practice Address - Country:US
Practice Address - Phone:401-573-5440
Practice Address - Fax:203-748-0100
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NY7622101YM0800X
CT2775101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health