Individual
MR. DAVID G SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
60 ELM ST, VERNON ROCKVILLE, CT 06066-3240
(860) 875-0292
(860) 871-4910
Mailing address
60 ELM ST, VERNON ROCKVILLE, CT 06066-3240
(860) 875-0292
(860) 871-4910
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001080
CT
106H00000X
Marriage & Family Therapist
00106
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060001080CT02
BLUE CROSS, BLUE SHIELD
CT
Enumeration date
08/31/2006
Last updated
10/24/2007
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