Provider Demographics
NPI:1902953664
Name:SCHAU, EDWARD J (PHD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:J
Last Name:SCHAU
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:12349 ROOSEVELT WAY NE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-4852
Mailing Address - Country:US
Mailing Address - Phone:205-365-3808
Mailing Address - Fax:206-367-4115
Practice Address - Street 1:12349 ROOSEVELT WAY NE
Practice Address - Street 2:SUITE 101
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4852
Practice Address - Country:US
Practice Address - Phone:206-365-3808
Practice Address - Fax:206-367-4115
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2011-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPY00000503103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5520398OtherAETNA
WA125661OtherVALUE OPTIONS
WA125661OtherVALUE OPTIONS