Doctor Name: | RICHARD S SCHNEIMAN |
NPI Number: | 1427128461 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 1069652501 |
Business Practice Address: | 5636 S Waterbury Way Suite 202-c Holladay, UT - 84121 |
Business Phone Number: | 8012780200 |
Business Fax Number: | 8012730322 |
Mailing Address: | 5636 S Waterbury Way, Suite 202-c HOLLADAY |
State: | UT |
Postal Code: | 84121 |
Phone Number: | 8012780200 |
Fax Number: | 8012730322 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1069652501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |