Provider Demographics
NPI:1669583043
Name:SCHIEFFER, LARRY F (PHD)
Entity type:Individual
Prefix:MR
First Name:LARRY
Middle Name:F
Last Name:SCHIEFFER
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 1:720 W HARWOOD RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054
Mailing Address - Country:US
Mailing Address - Phone:817-581-4440
Mailing Address - Fax:817-428-6380
Practice Address - Street 1:720 W HARWOOD RD
Practice Address - Street 2:SUITE 250
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054
Practice Address - Country:US
Practice Address - Phone:817-581-4440
Practice Address - Fax:817-428-6380
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20870103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX283780OtherVALUE OPTIONS
TX283780OtherVALUE OPTIONS