Provider Demographics
NPI:1033479357
Name:SCHROEDER, CAROLYN ANNE (LMFT, CFLE)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:ANNE
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:LMFT, CFLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13231 SE SUNNYSIDE ROAD
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015
Mailing Address - Country:US
Mailing Address - Phone:503-780-9679
Mailing Address - Fax:503-698-4490
Practice Address - Street 1:13231 SE SUNNYSIDE ROAD
Practice Address - Street 2:CAROLYN SCHROEDER LMFT, CFLE
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015
Practice Address - Country:US
Practice Address - Phone:503-780-9679
Practice Address - Fax:503-698-4490
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT0639/ACTIVE106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist