Provider Demographics
NPI:1790737195
Name:SCHAAF, DEBRA NEFF (PHD)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:NEFF
Last Name:SCHAAF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-2974
Mailing Address - Country:US
Mailing Address - Phone:301-724-5544
Mailing Address - Fax:301-724-3361
Practice Address - Street 1:7 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2974
Practice Address - Country:US
Practice Address - Phone:301-724-5544
Practice Address - Fax:301-724-3361
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006549L103T00000X
MD04380103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015703750003Medicaid
Q12447Medicare UPIN
PA0015703750003Medicaid