Individual
HAROLD SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
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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