Provider Demographics
NPI:1326380197
Name:SCHLOEMER, JEFFREY (MA)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:SCHLOEMER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 W ANN TAYLOR ST
Mailing Address - Street 2:APT G102
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-4005
Mailing Address - Country:US
Mailing Address - Phone:971-232-7169
Mailing Address - Fax:
Practice Address - Street 1:1530 W ANN TAYLOR ST
Practice Address - Street 2:APT G102
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646-4005
Practice Address - Country:US
Practice Address - Phone:971-232-7169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist