Provider Demographics
NPI:1093549651
Name:SCHAUER, MARLENE-ROSALIE PENELOPE
Entity type:Individual
Prefix:
First Name:MARLENE-ROSALIE
Middle Name:PENELOPE
Last Name:SCHAUER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 THORNTON TAYLOR PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37334-3669
Mailing Address - Country:US
Mailing Address - Phone:615-669-6397
Mailing Address - Fax:615-992-3933
Practice Address - Street 1:4104 24TH ST # 922
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-3615
Practice Address - Country:US
Practice Address - Phone:615-669-6397
Practice Address - Fax:615-992-3933
Is Sole Proprietor?:No
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician