Provider Demographics
NPI:1982266227
Name:CAROL SCHOBER PSYD, LLC
Entity Type:Organization
Organization Name:CAROL SCHOBER PSYD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOBER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:856-672-5900
Mailing Address - Street 1:811 CHURCH RD STE 114
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1459
Mailing Address - Country:US
Mailing Address - Phone:856-672-5900
Mailing Address - Fax:856-672-5901
Practice Address - Street 1:811 CHURCH RD STE 114
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1459
Practice Address - Country:US
Practice Address - Phone:856-672-5900
Practice Address - Fax:856-672-5901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1083704308OtherNPI - SINGLE
NJ0605352SFIMedicaid