Provider Demographics
NPI:1568891588
Name:SCHOFIELD, TERRENCE
Entity Type:Individual
Prefix:MR
First Name:TERRENCE
Middle Name:
Last Name:SCHOFIELD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6060 PIEDMONT ROW DR S STE 120
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28287-2801
Mailing Address - Country:US
Mailing Address - Phone:916-474-9797
Mailing Address - Fax:
Practice Address - Street 1:6060 PIEDMONT ROW DR S STE 120
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28287-2801
Practice Address - Country:US
Practice Address - Phone:916-474-9797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC103T00000XOtherTAXONOMY NUMBER