Provider Demographics
NPI:1396949707
Name:DORIS SCHUELER PA
Entity type:Organization
Organization Name:DORIS SCHUELER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:SCHUELER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:908-756-8989
Mailing Address - Street 1:426 HARVARD AVE.
Mailing Address - Street 2:
Mailing Address - City:S. PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-3934
Mailing Address - Country:US
Mailing Address - Phone:908-756-8989
Mailing Address - Fax:908-756-0150
Practice Address - Street 1:426 HARVARD AVE.
Practice Address - Street 2:
Practice Address - City:S. PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-3934
Practice Address - Country:US
Practice Address - Phone:908-756-8989
Practice Address - Fax:908-756-0150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1840103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ501947Medicare PIN