Provider Demographics
NPI:1598893802
Name:SCHOFIELD, RICHARD CRAVEN (LMHC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:CRAVEN
Last Name:SCHOFIELD
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 FLOYDS RUN
Mailing Address - Street 2:
Mailing Address - City:BOHEMIA
Mailing Address - State:NY
Mailing Address - Zip Code:11716-2154
Mailing Address - Country:US
Mailing Address - Phone:631-567-7760
Mailing Address - Fax:631-567-5172
Practice Address - Street 1:30 FLOYDS RUN
Practice Address - Street 2:
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716-2154
Practice Address - Country:US
Practice Address - Phone:631-567-7760
Practice Address - Fax:631-567-5172
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003798101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health