Healthcare Provider Details

I. General information

NPI: 1235205832
Provider Name (Legal Business Name): H G SCHNEIDER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 09/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 WILSON DR SUITE 5
BOONE NC
28607-8781
US

IV. Provider business mailing address

249 WILSON DR SUITE 5
BOONE NC
28607-8781
US

V. Phone/Fax

Practice location:
  • Phone: 828-268-2172
  • Fax: 828-268-2173
Mailing address:
  • Phone: 828-268-2172
  • Fax: 828-268-2173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number558
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: