Basic Information
| Provider Information | |||||||||
| NPI: | 1265105100 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | LADORA SCHAECHER | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 1106 W BENJAMIN AVE STE 800 | ||||||||
| Address2: | |||||||||
| City: | NORFOLK | ||||||||
| State: | NE | ||||||||
| PostalCode: | 687012748 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4029201921 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1106 W BENJAMIN AVE STE 800 | ||||||||
| Address2: | |||||||||
| City: | NORFOLK | ||||||||
| State: | NE | ||||||||
| PostalCode: | 687012748 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4029201921 | ||||||||
| FaxNumber: | 4023718155 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2021 | ||||||||
| LastUpdateDate: | 07/27/2021 | ||||||||
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| AuthorizedOfficialLastName: | SCHAECHER | ||||||||
| AuthorizedOfficialFirstName: | LADORA | ||||||||
| AuthorizedOfficialMiddleName: | M. | ||||||||
| AuthorizedOfficialTitleorPosition: | THERAPIST | ||||||||
| AuthorizedOfficialTelephone: | 4029201921 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PLMHP | ||||||||
| NPICertificationDate: | 07/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.