Doctor Name: | DR. MARC A SCHNEIDER |
NPI Number: | 1063468874 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | 071-003737 |
Business Practice Address: | 1341 Warren Ave Downers Grove, IL - 605153437 |
Business Phone Number: | 6307195454 |
Business Fax Number: | 6307191263 |
Mailing Address: | 1341 Warren Ave, DOWNERS GROVE |
State: | IL |
Postal Code: | 605153437 |
Phone Number: | 6307195454 |
Fax Number: | 6307191263 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 02/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 071-003737 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |