Provider Demographics
NPI:1396007910
Name:SCHREYER, COLLEEN CLARKIN (PHD)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:CLARKIN
Last Name:SCHREYER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:ALYCE
Other - Last Name:CLARKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:THE JOHNS HOPKINS HOSPITAL
Mailing Address - Street 2:600 NORTH WOLFE STREET, MEYER 101
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0001
Mailing Address - Country:US
Mailing Address - Phone:410-502-6309
Mailing Address - Fax:
Practice Address - Street 1:THE JOHNS HOPKINS HOSPITAL
Practice Address - Street 2:600 NORTH WOLFE STREET, MEYER 101
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-502-6309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-10
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05171103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical