Provider Demographics
NPI:1780735670
Name:SCHAFER, SCOTT R (LPC LMFT)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:R
Last Name:SCHAFER
Suffix:
Gender:M
Credentials:LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 FRANKLIN DR
Mailing Address - Street 2:
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-9358
Mailing Address - Country:US
Mailing Address - Phone:856-478-2048
Mailing Address - Fax:
Practice Address - Street 1:488 GLASSBORO RD
Practice Address - Street 2:SUITE 204
Practice Address - City:WOODBURY HTS
Practice Address - State:NJ
Practice Address - Zip Code:08097-1400
Practice Address - Country:US
Practice Address - Phone:856-845-5114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00245900101YP2500X
NJ106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist