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Individual

DR. MARK RICHARD SCHRODER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY. D.

Contact information

Practice address
2810 MACK ROAD, FAIRFIELD, OH 45014-5130
(513) 874-4530
(513) 346-3811
Mailing address
2810 MACK ROAD, FAIRFIELD, OH 45014-5130
(513) 874-4530
(513) 346-3811

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4776
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000020680
ANTHEM
OH
01
07 239 039
PCN
OH
Enumeration date
12/05/2006
Last updated
05/06/2008
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