Provider Demographics
NPI:1841379955
Name:HAROLD E SCHROEDER
Entity Type:Organization
Organization Name:HAROLD E SCHROEDER
Other - Org Name:OHIO PSYCH SERVICES LTD
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:330-650-1914
Mailing Address - Street 1:7234 DILLMAN DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-2410
Mailing Address - Country:US
Mailing Address - Phone:330-650-1914
Mailing Address - Fax:330-650-1914
Practice Address - Street 1:7234 DILLMAN DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-2410
Practice Address - Country:US
Practice Address - Phone:330-650-1914
Practice Address - Fax:330-650-1914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0109813Medicaid
OH9268121Medicare PIN