Healthcare Provider Details

I. General information

NPI: 1497543862
Provider Name (Legal Business Name): SCHNEE MCWILSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 04/28/2025
Certification Date: 04/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12827 KIRTON AVE
CLEVELAND OH
44135-3625
US

IV. Provider business mailing address

12827 KIRTON AVE
CLEVELAND OH
44135-3625
US

V. Phone/Fax

Practice location:
  • Phone: 614-353-0899
  • Fax: 614-353-0899
Mailing address:
  • Phone: 614-353-0899
  • Fax: 614-353-0899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: