Provider Demographics
NPI:1992848014
Name:SCHAUER, DALE WESLEY (MA,LMFT)
Entity Type:Individual
Prefix:
First Name:DALE
Middle Name:WESLEY
Last Name:SCHAUER
Suffix:
Gender:M
Credentials:MA,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6270 LEHMAN DR
Mailing Address - Street 2:SUITE 200E
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1469
Mailing Address - Country:US
Mailing Address - Phone:719-599-3080
Mailing Address - Fax:719-590-1561
Practice Address - Street 1:6270 LEHMAN DR
Practice Address - Street 2:SUITE 200E
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1469
Practice Address - Country:US
Practice Address - Phone:719-599-3080
Practice Address - Fax:719-590-1561
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO135101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO066456Medicaid