Provider Demographics
NPI:1831388750
Name:SCHAUBLE, PAUL G SR (PHD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:G
Last Name:SCHAUBLE
Suffix:SR
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 1:3950 NW 38TH PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6164
Mailing Address - Country:US
Mailing Address - Phone:352-373-1374
Mailing Address - Fax:
Practice Address - Street 1:3950 NW 38TH PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6164
Practice Address - Country:US
Practice Address - Phone:352-373-1374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 2003103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL75296OtherBLUE CROSS/BLUE SHIELD