Individual
JAMES C. SCHRADER
Active
Individual
JAMES C. SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
01563
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23988057
BLUE CROSS BLUE SHIELD
MO
05
—
496809617
—
MO
Enumeration date
01/10/2006
Last updated
06/06/2019
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