| Doctor Name: | DENNIS L. SCHRADER |
| NPI Number: | 1043447162 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | 0088401 |
| Business Practice Address: | 315 S Hudson St Silver City, NM - 880616184 |
| Business Phone Number: | 5753884497 |
| Business Fax Number: | 5755341150 |
| Mailing Address: | Po Box 1349, SILVER CITY |
| State: | NM |
| Postal Code: | 880621349 |
| Phone Number: | 5753884497 |
| Fax Number: | 5755341150 |
| NPI Enumeration Date: | 06/16/2009 |
| NPI Last Update Date: | 06/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0088401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |