MEDICARE: MARY ARLENE SCHNEIDER LCSW

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	1041C0700X	Clinical Social Worker	14522	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14522	OTHER	TX	LCSW

General Provider Information

NPI Number	:	1437304516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ARLENE SCHNEIDER LCSW

Provider Business Mailing Address
First Line	:	9100 SOUTHWEST FWY STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1523
Country	:	US
Telephone Number	:	713-457-4372
Fax Number	:	713-457-0945

Provider Business Practice Location Address
First Line	:	9100 SOUTHWEST FWY STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1523
Country	:	US
Telephone Number	:	713-457-4372
Fax Number	:	713-457-0945

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

Provider Enumeration Date	:	11/17/2008
Last Update Date	:	11/17/2008

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