Provider Demographics
NPI:1902049109
Name:SCHAEFER, PARIS C (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PARIS
Middle Name:C
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:STANFORD UNIVERSITY, VADEN HEALTH CENTER, CAPS
Mailing Address - Street 2:866 CAMPUS DRIVE
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-8580
Mailing Address - Country:US
Mailing Address - Phone:650-723-3785
Mailing Address - Fax:
Practice Address - Street 1:STANFORD UNIVERSITY, VADEN HEALTH CENTER, CAPS
Practice Address - Street 2:866 CAMPUS DRIVE
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-8580
Practice Address - Country:US
Practice Address - Phone:650-723-3785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18770103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist