Provider Demographics
NPI:1265651558
Name:SCHOENEWOLF, GERALD F (PHD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:F
Last Name:SCHOENEWOLF
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1433 WINSTON CIR
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-3540
Mailing Address - Country:US
Mailing Address - Phone:347-712-1752
Mailing Address - Fax:
Practice Address - Street 1:99 E 7TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-5738
Practice Address - Country:US
Practice Address - Phone:347-712-1752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000247102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst