Provider Demographics
NPI:1811514912
Name:SCHIFF, JACQUELINE DEBORA (PSYD)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:DEBORA
Last Name:SCHIFF
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SHVIL HAZAHAV 4
Mailing Address - Street 2:APARTMENT 39
Mailing Address - City:RAANANA
Mailing Address - State:ISRAEL
Mailing Address - Zip Code:4352449
Mailing Address - Country:IL
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:SHVIL HAZAHAV 4
Practice Address - Street 2:APARTMENT 39
Practice Address - City:RAANANA
Practice Address - State:ISRAEL
Practice Address - Zip Code:4352449
Practice Address - Country:IL
Practice Address - Phone:055-680-5727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012175103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical