Provider Demographics
NPI:1750565024
Name:SCHIEBERL, JUDITH ELOISE (MSW)
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:ELOISE
Last Name:SCHIEBERL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:JUDITH
Other - Middle Name:ELOISE
Other - Last Name:LYN FATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17372 DREY LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-5616
Mailing Address - Country:US
Mailing Address - Phone:714-842-4880
Mailing Address - Fax:
Practice Address - Street 1:17372 DREY LN
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-5616
Practice Address - Country:US
Practice Address - Phone:714-842-4880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker