MEDICARE: DAVID JOSEPH SCHROEDER

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	2084P0800X	Psychiatry Physician	330145	NC

General Provider Information

NPI Number	:	1386456119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID JOSEPH SCHROEDER

Provider Business Mailing Address
First Line	:	7700 ARLINGTON BLVD STE 5113
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-5190
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7700 ARLINGTON BLVD STE 5113
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-5190
Country	:	US
Telephone Number	:	301-295-1594
Fax Number	:

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

Provider Enumeration Date	:	01/20/2025
Last Update Date	:	06/30/2025

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