MEDICARE: KERRI SCHNEIDER PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY6231	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215132584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERRI SCHNEIDER PH.D.

Provider Business Mailing Address
First Line	:	8401 LAKE WORTH RD
Second Line	:	SUITE 219
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2400
Country	:	US
Telephone Number	:	561-818-1640
Fax Number	:	561-713-1175

Provider Business Practice Location Address
First Line	:	8401 LAKE WORTH RD
Second Line	:	SUITE 219
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2400
Country	:	US
Telephone Number	:	561-818-1640
Fax Number	:	561-713-1175

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2007
Last Update Date	:	02/23/2012

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