Schroeder, Randall Allen

Schroeder, Randall Allen is an sole proprietor health care provider with primary practice located at 4850 E Main St , Carmel IN 46033-9818. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Schroeder, Randall Allen can be contacted via phone (260) 348-8777.

Contact Information

Primary practice address
4850 E Main St Carmel IN 46033-9818
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT35000635 Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW34003052 Indiana

Profile Details

NPI number 1992897334
LBN Legal business name Schroeder, Randall Allen
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Jan 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992897334 NPPES
Indiana MEDICAID 200424360A

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