Organization Name: | MARC A SCHNEIDER, PSY D |
NPI Number: | 1053496075 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARC A SCHNEIDER (DOCTOR/OWNER) |
Mailing Address: | 1160 Parker Ave Downers Grove |
State: | IL US |
Postal Code: | 605163415 |
Phone Number: | 6305415116 |
Fax Number: | 6305415116 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 02/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 071003737 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |