Healthcare Provider Details
I. General information
NPI: 1811064975
Provider Name (Legal Business Name): BRENDA J SCHNEIDER MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8 POLLY DRUMMOND HILL RD
NEWARK DE
19711-5703
US
IV. Provider business mailing address
1035 PENNLAND LN
HERSHEY PA
17033-8803
US
V. Phone/Fax
- Phone: 302-738-6859
- Fax: 302-368-5309
- Phone: 717-520-3668
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: