Doctor Name: | ANDREA LYN SCHRAMM |
NPI Number: | 1447662309 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLPC, CRC |
License Number: | 2013041567 |
Business Practice Address: | 206 Centre On The Lk Lake Saint Louis, MO - 633671370 |
Business Phone Number: | 6365423954 |
Business Fax Number: | |
Mailing Address: | 13 Summer Dr, SAINT PETERS |
State: | MO |
Postal Code: | 633763661 |
Phone Number: | 6367958181 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2014 |
NPI Last Update Date: | 07/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2013041567 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |