Provider Demographics
NPI:1992176879
Name:SCHAFFER, CAROLE (EDS)
Entity type:Individual
Prefix:MRS
First Name:CAROLE
Middle Name:
Last Name:SCHAFFER
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:MRS
Other - First Name:CAROLE
Other - Middle Name:
Other - Last Name:SCHAFFER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDS
Mailing Address - Street 1:3799 US HIGHWAY 46
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1055
Mailing Address - Country:US
Mailing Address - Phone:973-402-7262
Mailing Address - Fax:973-352-9736
Practice Address - Street 1:3799 US HIGHWAY 46
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1055
Practice Address - Country:US
Practice Address - Phone:973-402-7262
Practice Address - Fax:973-352-9736
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-17
Last Update Date:2015-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ048937106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist