Provider Demographics
NPI:1942000476
Name:SCHINDEWOLF, SHAUNA L
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:L
Last Name:SCHINDEWOLF
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 1:111 CASE ST
Mailing Address - Street 2:
Mailing Address - City:WEST GRANBY
Mailing Address - State:CT
Mailing Address - Zip Code:06090-1510
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 CASE ST
Practice Address - Street 2:
Practice Address - City:WEST GRANBY
Practice Address - State:CT
Practice Address - Zip Code:06090-1510
Practice Address - Country:US
Practice Address - Phone:860-262-3279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor