Provider Demographics
NPI:1508005794
Name:SCHUETTE, STEPHANIE D
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:D
Last Name:SCHUETTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 FM 799
Mailing Address - Street 2:
Mailing Address - City:GEORGE WEST
Mailing Address - State:TX
Mailing Address - Zip Code:78022
Mailing Address - Country:US
Mailing Address - Phone:361-510-9734
Mailing Address - Fax:
Practice Address - Street 1:4639 CORONA DR STE 34
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-5430
Practice Address - Country:US
Practice Address - Phone:361-442-4024
Practice Address - Fax:361-853-7877
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20042101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional