| Doctor Name: | DR. JUDY WELLS SCHNEIDER |
| NPI Number: | 1194874727 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D.,L.P.C. |
| License Number: | LPC001308 |
| Business Practice Address: | 561 Thornton Rd Suite R Lithia Springs, GA - 301221558 |
| Business Phone Number: | 7709424529 |
| Business Fax Number: | 7709415675 |
| Mailing Address: | 561 Thornton Rd, Suite R LITHIA SPRINGS |
| State: | GA |
| Postal Code: | 301221558 |
| Phone Number: | 7709424529 |
| Fax Number: | 7709415675 |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC001308 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |