Provider Demographics
NPI:1225364946
Name:SCHLUETER, KATHLEEN G (MS)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:G
Last Name:SCHLUETER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:776 S PINEHURST ST
Mailing Address - Street 2:
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-8387
Mailing Address - Country:US
Mailing Address - Phone:417-551-3604
Mailing Address - Fax:
Practice Address - Street 1:729 W CENTER CIR
Practice Address - Street 2:SUITE 103
Practice Address - City:NIXA
Practice Address - State:MO
Practice Address - Zip Code:65714-7001
Practice Address - Country:US
Practice Address - Phone:417-724-0700
Practice Address - Fax:417-724-0710
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009033033101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional