Provider Demographics
NPI:1861239949
Name:SHAYLEE SCHROEDER PSY D LLC
Entity type:Organization
Organization Name:SHAYLEE SCHROEDER PSY D LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SHAYLEE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:308-367-6717
Mailing Address - Street 1:1900 K ST APT 312
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-1059
Mailing Address - Country:US
Mailing Address - Phone:308-367-6717
Mailing Address - Fax:
Practice Address - Street 1:2001 PINE LAKE RD STE 200
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-3604
Practice Address - Country:US
Practice Address - Phone:402-261-8313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-15
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty