Individual
JESSICA R SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1000 W WISCONSIN AVE STE 1, APPLETON, WI 54914-3551
(920) 257-4601
(920) 257-4603
Mailing address
1000 W WISCONSIN AVE STE 1, APPLETON, WI 54914-3551
(920) 257-4601
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2881-057
WI
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316130404
—
WI
Enumeration date
08/22/2007
Last updated
04/20/2022
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