Provider Demographics
NPI:1396982625
Name:SCHUELE, JAMES GERARD (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GERARD
Last Name:SCHUELE
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 1:19 FLUSHING POND RD
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-1118
Mailing Address - Country:US
Mailing Address - Phone:978-692-1948
Mailing Address - Fax:
Practice Address - Street 1:19 FLUSHING POND RD
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-1118
Practice Address - Country:US
Practice Address - Phone:978-692-1948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPY2675-PR103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist