Provider Demographics
NPI:1083850556
Name:SCHROEDER, MICHAEL (MFT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:SCHROEDER
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20350 VENTURA BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2452
Mailing Address - Country:US
Mailing Address - Phone:818-226-6070
Mailing Address - Fax:818-704-8948
Practice Address - Street 1:20350 VENTURA BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2452
Practice Address - Country:US
Practice Address - Phone:818-226-6070
Practice Address - Fax:818-704-8948
Is Sole Proprietor?:No
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44527106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist