Provider Demographics
NPI:1205042868
Name:SCHROEDER, REBECCA ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANN
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4
Mailing Address - Street 2:212 W 9TH ST
Mailing Address - City:CURTIS
Mailing Address - State:NE
Mailing Address - Zip Code:69025-0004
Mailing Address - Country:US
Mailing Address - Phone:308-367-8710
Mailing Address - Fax:308-367-4141
Practice Address - Street 1:213 CENTER AVE
Practice Address - Street 2:
Practice Address - City:CURTIS
Practice Address - State:NE
Practice Address - Zip Code:69025-3000
Practice Address - Country:US
Practice Address - Phone:308-367-4141
Practice Address - Fax:308-367-4141
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE255103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE008102OtherBLUE CROSS
NE008102OtherBLUE CROSS