Individual
SHANNON SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 STATE ST APT 219, NEW HAVEN, CT 06511-2765
(703) 987-8364
Mailing address
1050 STATE ST APT 219, NEW HAVEN, CT 06511-2765
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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