Provider Demographics
NPI:1518949619
Name:SCHOFIELD, KAREN A (PHD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:SCHOFIELD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 S ABINGTON RD
Mailing Address - Street 2:#6
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-2264
Mailing Address - Country:US
Mailing Address - Phone:570-585-9822
Mailing Address - Fax:570-586-4218
Practice Address - Street 1:1133 S ABINGTON RD
Practice Address - Street 2:#6
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-2264
Practice Address - Country:US
Practice Address - Phone:570-585-9822
Practice Address - Fax:570-586-4218
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003672L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2890148OtherAETNA
PASC377134OtherHIGHMARK BLUE SHIELD
455885000OtherMAGELLAN BEHAVIORAL HLTH
055966Medicare ID - Type Unspecified
2890148OtherAETNA