Provider Demographics
NPI:1053369389
Name:SCHOEPPEL, CYNTHIA A (LPC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:A
Last Name:SCHOEPPEL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8414B OLD MCGREGOR ROAD
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712
Mailing Address - Country:US
Mailing Address - Phone:254-741-4090
Mailing Address - Fax:254-741-6040
Practice Address - Street 1:8414B OLD MCGREGOR ROAD
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712
Practice Address - Country:US
Practice Address - Phone:254-741-4090
Practice Address - Fax:254-741-6040
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17426101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health