Jack Phillip Schaefer
NPI #1053336149 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1053336149
- Entity Type
- Individual
- Name
- Jack Phillip Schaefer
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jul 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4313 W MARKHAM ST
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72205-4023
- Phone
- (501) 686-9406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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