Provider Demographics
NPI:1124157805
Name:SCHROEDER, EDITH CIOTOLA (MS)
Entity type:Individual
Prefix:MS
First Name:EDITH
Middle Name:CIOTOLA
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:EDITH
Other - Middle Name:MARY
Other - Last Name:CIOTOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:77 MARION DR
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-3725
Mailing Address - Country:US
Mailing Address - Phone:330-757-3022
Mailing Address - Fax:330-782-8785
Practice Address - Street 1:5500 MARKET ST
Practice Address - Street 2:SUITE 90
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-2601
Practice Address - Country:US
Practice Address - Phone:330-782-7701
Practice Address - Fax:330-782-8785
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0004372101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional