Provider Demographics
NPI:1679177083
Name:SCHEPFLIN, NATASHA LEE
Entity type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:LEE
Last Name:SCHEPFLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5045 DOUGLAS RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-2606
Mailing Address - Country:US
Mailing Address - Phone:419-509-5154
Mailing Address - Fax:
Practice Address - Street 1:5045 DOUGLAS RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-2606
Practice Address - Country:US
Practice Address - Phone:419-509-5154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities