Provider Demographics
NPI:1972032357
Name:KAREN D SCHAEFER PHD PSYCHOLOGICAL SERVICES LLC
Entity Type:Organization
Organization Name:KAREN D SCHAEFER PHD PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHAEFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:575-571-9257
Mailing Address - Street 1:741 N ALAMEDA BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-2172
Mailing Address - Country:US
Mailing Address - Phone:575-571-9257
Mailing Address - Fax:575-571-4483
Practice Address - Street 1:741 N ALAMEDA BLVD STE 6
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-2172
Practice Address - Country:US
Practice Address - Phone:575-571-9257
Practice Address - Fax:575-571-4483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM543251S00000X
543261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health