Doctor Name: | ILENE J SCHNEIDER |
NPI Number: | 1003078775 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | R043885 |
Business Practice Address: | 1808 Route 6 Carmel, NY - 105122356 |
Business Phone Number: | 8452252700 |
Business Fax Number: | 8452253207 |
Mailing Address: | 1808 Route 6, CARMEL |
State: | NY |
Postal Code: | 105122356 |
Phone Number: | 8452252700 |
Fax Number: | 8452253207 |
NPI Enumeration Date: | 06/25/2008 |
NPI Last Update Date: | 06/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | R043885 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |