SHANNON C SCHAEFER


Address: 2620 Stewart Ave, Suite 318, Wausau, WI 54401-4170
Phone: 7158429500

SHANNON C SCHAEFER (NPI# 1972616795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972616795
Entity Type Individual
Full Name SHANNON C SCHAEFER
Other Name SHANNON C LEE
Credential PH.D.
Practice Address 2620 Stewart Ave
Suite 318
Wausau
WI 54401-4170
Practice Telephone 7158429500
Practice Fax Number 7158480425
Mailing Telephone 7158429500
Mailing Fax Number 7158480425
Enumeration Date 2006-08-16
Last Update Date 2012-10-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
2632-057 WI Behavioral Health & Social Service Providers

Other Providers SHANNON SCHAEFER

NPI Name Taxonomy Address Enumeration
1245877083 Shannon Schaefer Social Worker 7418 W Everell Ave, Chicago, IL 60631-1902 2019-11-27
1629501234 Shannon Schaefer Registered Nurse 6804 77th Street Ct E, Puyallup, WA 98371-5594 2017-04-10
1972050094 Shannon Schaefer Occupational Therapist 21000 S. Frankfort Square Rd, Ste D, Frankfort, IL 60423 2016-09-07
1013575307 Shannon Lee Schaefer Speech-Language Pathologist 1745 S Alma School Rd Ste 145, Mesa, AZ 85210-3049 2019-05-31
1790192417 Shannon Schaefer Social Worker 802 E Gorham St, Madison, WI 53703-1524 2014-07-15

Office Location

Street Address 2620 STEWART AVE
SUITE 318
City WAUSAU
State WI
Zip Code 54401-4170

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841411659 David E Krigbaum Dds Sc Dentist 2620 Stewart Ave, Suite 218, Wausau, WI 54401-4170 2007-05-01
1528285392 Sandra J. Grass Counselor 2620 Stewart Ave, Ste 310, Wausau, WI 54401-4162 2007-04-20
1932322427 Michael Miles Dentist 2620 Stewart Ave, Suite 212, Wausau, WI 54401-4170 2007-04-11
1275601940 Steven B Demille Dentist 2620 Stewart Ave, Suite 214, Wausau, WI 54401-4170 2006-12-01
1730253147 Patricia Ann Cotrone Counselor 2620 Stewart Ave, Suite 310, Wausau, WI 54401-4170 2006-11-17
1750453049 David Edmund Krigbaum Dentist 2620 Stewart Ave, Suite 218, Wausau, WI 54401-4170 2006-11-14
1427144054 Charis Counseling, LLC Psychologist 2620 Stewart Ave, Ste 310, Wausau, WI 54401 2006-10-04
1033211743 Paul Scott Lewis Dentist 2620 Stewart Ave, Suite 216, Wausau, WI 54401-4170 2006-09-02

Providers in the same zip code

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1437640877 Joseph T Fitz Student in an Organized Health Care Education/Training Program Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 2018-05-22
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1013389618 Grace Lutheran Foundation Inc Skilled Nursing Facility 2727 Plaza Dr., Wausau, WI 54401 2015-10-22
1881091163 Judy Lao Dental Hygienist 413 North 17th Avenue, Wausau, WI 54401 2014-12-02
1295012011 Allison Waraksa Pharmacist 504 S. 17th Ave, Wausau, WI 54401 2011-11-08
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063613065 Steven A. Benson Psychologist 500 3rd St Ste 319-b, Wausau, WI 54403-4857 2007-05-29
1508926627 Catherine Anne Ford Bard Psychologist 300 North Third Street, Suite 302, Wausau, WI 54403 2006-12-11
1790791606 Nanette Marie Matthews Psychologist 901 N. 6th Street, Wausau, WI 54403 2006-07-31
1508807744 Katherine A H Wright Psychologist 3600 Stewart Ave Ste B, Wausau, WI 54401-3944 2006-06-09
1831442359 Behavioral Health Clinic, LLC Psychologist 630 S 36th Ave, Wausau, WI 54401-3930 2012-10-22
1588959571 Laura B. Cowan Phd, LLC Psychologist 500 3rd St, Suite319b, Wausau, WI 54403-4885 2011-06-17
1497047799 Laura B Cowan Psychologist 500 3rd St, Suite 319b, Wausau, WI 54403-4885 2011-05-05
1215238340 Aspirus Clinics, Inc. Psychologist 333 Pine Ridge Blvd, Suite 217, Wausau, WI 54401-4120 2010-11-05
1356586713 Steven A. Benson Phd, LLC Psychologist 500 3rd St, Suite 319b, Wausau, WI 54403-4885 2008-12-12
1487866455 Allyson R. Ende Psychologist 3600 Stewart Ave, Suite B, Wausau, WI 54401-3944 2007-05-04
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Competitor

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City WAUSAU
Zip Code 54401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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