Blake Schroedter, Psy.D.
Psychologist, Clinical in Effingham, IL. Individual provider (NPI-1).
NPI number1669971503
StatusActive
Last updated in NPPESFeb 6, 2018
Details
- NPI
- 1669971503
- Entity type
- Individual (NPI-1)
- Name
- Blake Schroedter
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2018
- Last updated
- Feb 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071009600 | IL | Yes |
Practice location
1200 N 4th StEffingham, IL 62401-3032
Phone 217-342-6434
Mailing address
1200 N 4th StEffingham, IL 62401-3032
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