Basic Information
Provider Information
NPI: 1619524378
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHRAMM
FirstName: MARGARET
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3514 PALMER DR
Address2:  
City: ROCKY RIVER
State: OH
PostalCode: 441163763
CountryCode: US
TelephoneNumber: 4127210162
FaxNumber:  
Practice Location
Address1: 29201 AURORA RD
Address2:  
City: SOLON
State: OH
PostalCode: 441391846
CountryCode: US
TelephoneNumber: 2162208774
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/19/2019
LastUpdateDate: 06/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 06/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
101YP2500XC.2002911OHY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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