MEDICARE: KATHRYN SCHLEYER

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	1041C0700X	Clinical Social Worker	SW22662

General Provider Information

NPI Number	:	1114741477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN SCHLEYER

Provider Business Mailing Address
First Line	:	4572 COKER RD
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34286-6020
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4572 COKER RD
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34286-6020
Country	:	US
Telephone Number	:	740-975-4303
Fax Number	:

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

Provider Enumeration Date	:	11/13/2024
Last Update Date	:	11/13/2024

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Directions to “ KATHRYN SCHLEYER ” Practice Location

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