Doctor Name: | JULILYN ODELL SCHROEDER |
NPI Number: | 1215038948 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 3565 |
Business Practice Address: | 411 W Chickasha Ave Suite 303 Chickasha, OK - 730182505 |
Business Phone Number: | 4052224786 |
Business Fax Number: | 4052221615 |
Mailing Address: | 587 County Road 1250, POCASSET |
State: | OK |
Postal Code: | 730798003 |
Phone Number: | 4054599950 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |