Individual
HAROLD SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
111 S DIAMOND ST, MANSFIELD, OH 44902-7510
(330) 672-3787
Mailing address
7234 DILLMAN DR, HUDSON, OH 44236-2410
(330) 672-3787
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1142
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000299579
ANTHEM PROVIDER NUMBER
OH
05
—
0282911
—
OH
Enumeration date
08/07/2006
Last updated
07/08/2007
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