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NPI Code Detail

MEDICARE: MS. VAN SCHRODER WADDY M.ED.

MEDICARE:  MS. VAN SCHRODER WADDY  M.ED.
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
1106H00000XMarriage & Family Therapist355GA

General Provider Information

NPI Number : 1275656472
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VAN SCHRODER WADDY M.ED.
Provider Business Mailing Address
First Line : 351 DELMONT DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30305-3220
Country : US
Telephone Number : 404-233-4401
Fax Number :
Provider Business Practice Location Address
First Line : 351 DELMONT DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30305-3220
Country : US
Telephone Number : 404-233-4401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 07/08/2007

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Directions to “ MS. VAN SCHRODER WADDY M.ED.” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.