Provider Demographics
NPI:1821135708
Name:MUELLER-SCHRADER, KARLA ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:ANN
Last Name:MUELLER-SCHRADER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21515 N 71ST DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-9546
Mailing Address - Country:US
Mailing Address - Phone:623-455-3837
Mailing Address - Fax:
Practice Address - Street 1:10451 W PALMERAS DR
Practice Address - Street 2:SUITE 126C
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85373-2011
Practice Address - Country:US
Practice Address - Phone:623-810-5501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3818103G00000X, 103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ129354Medicaid