Provider Demographics
NPI:1568541126
Name:SCHAFER, VICKIE (PHD, LP)
Entity Type:Individual
Prefix:DR
First Name:VICKIE
Middle Name:
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3536 BEE CAVES RD STE 300
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5474
Mailing Address - Country:US
Mailing Address - Phone:512-298-2411
Mailing Address - Fax:
Practice Address - Street 1:3536 BEE CAVES RD STE 300
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5474
Practice Address - Country:US
Practice Address - Phone:512-298-2411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2019-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33213103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist