Healthcare Provider Details
I. General information
NPI: 1043489479
Provider Name (Legal Business Name): DANIELA E SCHREIER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/29/2008
Last Update Date: 03/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
233 E WACKER DR 1607
CHICAGO IL
60601-5104
US
IV. Provider business mailing address
233 E WACKER DR 1607
CHICAGO IL
60601-5104
US
V. Phone/Fax
- Phone: 312-804-0810
- Fax: 312-650-5550
- Phone: 312-804-0810
- Fax: 312-650-5550
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | LP1686 |
| License Number State | KS |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TF0200X |
| Taxonomy | Forensic Psychologist |
| License Number | LP1686 |
| License Number State | KS |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | IL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | IL |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TF0200X |
| Taxonomy | Forensic Psychologist |
| License Number | |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: