Provider Demographics
NPI:1790829380
Name:STOLLER SCHOFF, JANE KAY (MA LCPC)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:KAY
Last Name:STOLLER SCHOFF
Suffix:
Gender:F
Credentials:MA LCPC
Other - Prefix:MISS
Other - First Name:JANE
Other - Middle Name:KAY
Other - Last Name:STOLLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3100 W HIGGINS RD
Mailing Address - Street 2:SUITE 195
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169
Mailing Address - Country:US
Mailing Address - Phone:847-303-0234
Mailing Address - Fax:
Practice Address - Street 1:3100 W HIGGINS RD
Practice Address - Street 2:SUITE 195
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169
Practice Address - Country:US
Practice Address - Phone:847-303-0234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist