Provider Demographics
NPI:1528417482
Name:SCHRADER, EMMA (LMHC)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:SCHRADER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:
Other - Last Name:WILBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 484
Mailing Address - Street 2:
Mailing Address - City:WEST GROTON
Mailing Address - State:MA
Mailing Address - Zip Code:01472-0484
Mailing Address - Country:US
Mailing Address - Phone:978-728-3661
Mailing Address - Fax:
Practice Address - Street 1:70R WILDER RD
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-6643
Practice Address - Country:US
Practice Address - Phone:978-728-3661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-10
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health