Basic Information
| Provider Information | |||||||||
| NPI: | 1548696479 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SCHROEDL | ||||||||
| FirstName: | ROSE | ||||||||
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| Address1: | PO BOX 715202 | ||||||||
| Address2: | PATIENT ACCOUNTS | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432715202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6147222000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 700 CHILDRENS DR | ||||||||
| Address2: | DEPARTMENT OF PSYCHOLOGY | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432052664 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6147224700 | ||||||||
| FaxNumber: | 6147224718 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/24/2013 | ||||||||
| LastUpdateDate: | 09/24/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 7074 | OH | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.