Healthcare Provider Details

I. General information

NPI: 1316507809
Provider Name (Legal Business Name): MARYIA MARIE SCHNEIDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2019
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 S 44TH ST
OMAHA NE
68131-3727
US

IV. Provider business mailing address

430 N MONITOR ST
WEST POINT NE
68788-1555
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-6408
  • Fax: 402-559-5737
Mailing address:
  • Phone: 402-372-2404
  • Fax: 402-559-5737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1120
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: