Provider Demographics
NPI:1609047000
Name:LOIS SCHAFER PHD & ASSOCIATES, L.L.C.
Entity Type:Organization
Organization Name:LOIS SCHAFER PHD & ASSOCIATES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:586-226-6855
Mailing Address - Street 1:43750 GARFIELD RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1135
Mailing Address - Country:US
Mailing Address - Phone:586-226-6855
Mailing Address - Fax:586-226-6880
Practice Address - Street 1:43750 GARFIELD RD
Practice Address - Street 2:SUITE 106
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-1135
Practice Address - Country:US
Practice Address - Phone:586-226-6855
Practice Address - Fax:586-226-6880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301008020103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI143624OtherPRIORITY HEALTH
MI7487278OtherAETNA
MIP111686OtherBLUE CARE NETWORK
MIG2157173OtherVALUE OPTIONS
MI11409OtherM-CARE
MIG2157173OtherVALUE OPTIONS
MI11409OtherM-CARE
MI7487278OtherAETNA