Healthcare Provider Details

I. General information

NPI: 1245357318
Provider Name (Legal Business Name): TOMAS A SCHREIBER PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 HOSPITAL DR
COLUMBIA MO
65201-5276
US

IV. Provider business mailing address

3 HOSPITAL DR
COLUMBIA MO
65201-5276
US

V. Phone/Fax

Practice location:
  • Phone: 573-884-1300
  • Fax: 573-884-1010
Mailing address:
  • Phone: 573-884-1300
  • Fax: 573-884-1010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License NumberPY01368
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: