Provider Demographics
NPI:1851524565
Name:SCHINDEWOLF, TRACI DEMPSEY (MASTER OF ARTS)
Entity Type:Individual
Prefix:MRS
First Name:TRACI
Middle Name:DEMPSEY
Last Name:SCHINDEWOLF
Suffix:
Gender:F
Credentials:MASTER OF ARTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3618 BLUE CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-5709
Mailing Address - Country:US
Mailing Address - Phone:281-382-6069
Mailing Address - Fax:
Practice Address - Street 1:26205 OAK RIDGE DR
Practice Address - Street 2:SUITE 103
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1916
Practice Address - Country:US
Practice Address - Phone:832-534-3993
Practice Address - Fax:281-292-2365
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-27
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64404101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional