Provider Demographics
NPI:1528498508
Name:SCHIF, PATRICIA (LMFT)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:SCHIF
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-5802
Mailing Address - Country:US
Mailing Address - Phone:203-929-1117
Mailing Address - Fax:203-925-9645
Practice Address - Street 1:25 CHURCH ST
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-5802
Practice Address - Country:US
Practice Address - Phone:203-929-1117
Practice Address - Fax:203-925-9645
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1628106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist