Provider Demographics
NPI:1427458777
Name:SCHRAD, PAULA (LPC)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:SCHRAD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:J
Other - Last Name:SCHRAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:650 E DIEHL RD
Mailing Address - Street 2:SUITE 121
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-4801
Mailing Address - Country:US
Mailing Address - Phone:630-983-0600
Mailing Address - Fax:
Practice Address - Street 1:650 E DIEHL RD
Practice Address - Street 2:SUITE 121
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-4801
Practice Address - Country:US
Practice Address - Phone:630-983-0600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-23
Last Update Date:2014-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.010246101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional