Provider Demographics
NPI:1740619790
Name:SCHOON, CRAIG GERALD (PHD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:GERALD
Last Name:SCHOON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 HIFIELD DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON DEPOT
Mailing Address - State:CT
Mailing Address - Zip Code:06794-1114
Mailing Address - Country:US
Mailing Address - Phone:860-868-1531
Mailing Address - Fax:860-868-8069
Practice Address - Street 1:8 HIFIELD DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON DEPOT
Practice Address - State:CT
Practice Address - Zip Code:06794-1114
Practice Address - Country:US
Practice Address - Phone:860-868-1531
Practice Address - Fax:860-868-8069
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-09
Last Update Date:2013-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002389103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist