Provider Demographics
NPI:1891063772
Name:SCHAFFER, DIANA KAY (MA, LPC)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:KAY
Last Name:SCHAFFER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WHITEMAN AFB
Mailing Address - Street 2:331 SIJAN AVE, BUILDING 2032
Mailing Address - City:WHITEMAN AFB
Mailing Address - State:MO
Mailing Address - Zip Code:65305
Mailing Address - Country:US
Mailing Address - Phone:314-518-4234
Mailing Address - Fax:
Practice Address - Street 1:WHITEMAN AFB
Practice Address - Street 2:331 SIJAN AVE, BUILDING 2032
Practice Address - City:WHITEMAN AFB
Practice Address - State:MO
Practice Address - Zip Code:65305
Practice Address - Country:US
Practice Address - Phone:314-518-4234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011037915101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor