Provider Demographics
NPI:1538492608
Name:RICHARD H. SCHREDER, PH.D., P.A.
Entity Type:Organization
Organization Name:RICHARD H. SCHREDER, PH.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PSYCHOLOGIST/PSYCHOTHERAP
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHREDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-788-8574
Mailing Address - Street 1:6024 CHESWORTH RD.
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-2715
Mailing Address - Country:US
Mailing Address - Phone:410-788-8574
Mailing Address - Fax:410-788-8474
Practice Address - Street 1:6024 CHESWORTH RD.
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-2715
Practice Address - Country:US
Practice Address - Phone:410-788-8574
Practice Address - Fax:410-788-8474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1708103T00000X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty