Schroeder, Jessica R

Schroeder, Jessica R is an sole proprietor health care provider with primary practice located at 1000 W Wisconsin Ave Ste 1 , Appleton WI 54914-3551. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Schroeder, Jessica R can be contacted via phone (920) 257-4601.

Contact Information

Primary practice address
1000 W Wisconsin Ave Ste 1 Appleton WI 54914-3551
Phone: (920) 257-4601
Fax: (920) 257-4603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2881-057 Wisconsin

Profile Details

NPI number 1316130404
LBN Legal business name Schroeder, Jessica R
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2007
Last updated Apr 20th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316130404 NPPES
Wisconsin MEDICAID 1316130404

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