Provider Demographics
NPI:1326380197
Name:SCHLOEMER, JEFFREY (MA)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:SCHLOEMER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 W ANN TAYLOR ST
Mailing Address - Street 2:APT G102
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-4005
Mailing Address - Country:US
Mailing Address - Phone:971-232-7169
Mailing Address - Fax:
Practice Address - Street 1:12 E ROWAN AVE STE L3
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1281
Practice Address - Country:US
Practice Address - Phone:509-359-8807
Practice Address - Fax:509-293-6506
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
WAPY60731264103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist