MEDICARE: DR. DANIELA E SCHREIER PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	LP1686	KS
2	103TF0200X	Forensic Psychologist	LP1686	KS
3	101YP2500X	Professional Counselor		IL
4	103TC0700X	Clinical Psychologist		IL
5	103TF0200X	Forensic Psychologist		IL

General Provider Information

NPI Number	:	1043489479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIELA E SCHREIER PSY.D.

Provider Business Mailing Address
First Line	:	233 E WACKER DR
Second Line	:	1607
City	:	CHICAGO
State	:	IL
Zip	:	60601-5104
Country	:	US
Telephone Number	:	312-804-0810
Fax Number	:	312-650-5550

Provider Business Practice Location Address
First Line	:	233 E WACKER DR
Second Line	:	1607
City	:	CHICAGO
State	:	IL
Zip	:	60601-5104
Country	:	US
Telephone Number	:	312-804-0810
Fax Number	:	312-650-5550

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/29/2008
Last Update Date	:	03/25/2008

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