Provider Demographics
NPI:1205054418
Name:SCHEMENAUER, OFELIA KITTY (MS, MFT)
Entity type:Individual
Prefix:PROF
First Name:OFELIA
Middle Name:KITTY
Last Name:SCHEMENAUER
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:MS
Other - First Name:KITTY
Other - Middle Name:L
Other - Last Name:SCHEMENAUER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, MFT
Mailing Address - Street 1:2909 BLUE SPRUCE CIR
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-6303
Mailing Address - Country:US
Mailing Address - Phone:805-493-0115
Mailing Address - Fax:805-493-0115
Practice Address - Street 1:3585 MAPLE ST
Practice Address - Street 2:#266
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3504
Practice Address - Country:US
Practice Address - Phone:805-789-2010
Practice Address - Fax:818-986-0724
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT28081106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist