Provider Demographics
NPI:1306301411
Name:VICKIE SCHAFER, PH.D.
Entity type:Organization
Organization Name:VICKIE SCHAFER, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-298-2411
Mailing Address - Street 1:7012 WANDERING OAK RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-1893
Mailing Address - Country:US
Mailing Address - Phone:512-298-2411
Mailing Address - Fax:
Practice Address - Street 1:3536 BEE CAVES RD STE 300
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5474
Practice Address - Country:US
Practice Address - Phone:512-298-2411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-02
Last Update Date:2019-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty