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Provider Information for 1437545100


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DANIEL SCHROEDER MS


Sex: Male

NPI: 1437545100
Last Updated: 2024-02-09
Certification Date: 2024-02-09

Details

NameValue
NPI1437545100
Enumeration Date2015-04-09
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2171 GRANITE DR
WALLA WALLA, WA 99362-9280
United States

Phone: 509-539-0112 | Fax:
 
Primary Practice Address 2171 GRANITE DR
WALLA WALLA, WA 99362-9280
United States

Phone: 509-539-0112 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101Y00000X - Counselor
Yes 101Y00000X - Counselor WACG60352099