Provider Demographics
NPI:1215272497
Name:SCHWAB, STEPHANIE FRANCES (MS, LMFT)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:FRANCES
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 S FRONT ST
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-2404
Mailing Address - Country:US
Mailing Address - Phone:507-386-7121
Mailing Address - Fax:
Practice Address - Street 1:915 S FRONT ST
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-2404
Practice Address - Country:US
Practice Address - Phone:507-386-7121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-29
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2597106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist