Healthcare Provider Details

I. General information

NPI: 1043788847
Provider Name (Legal Business Name): NATAN SCHNEIDER-GANS LPC,ACS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2018
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 STRAWBRIDGE DR STE 103
MOORESTOWN NJ
08057-4602
US

IV. Provider business mailing address

224 STRAWBRIDGE DR STE 103
MOORESTOWN NJ
08057-4602
US

V. Phone/Fax

Practice location:
  • Phone: 856-906-0173
  • Fax:
Mailing address:
  • Phone: 856-906-0173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC0808500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: