=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427128685
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MICHAEL NARD SCHNEIDER PSY.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/08/2006
-----------------------------------------------------
Last Update Date | 09/05/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 117 VIP DR FL 2
-----------------------------------------------------
City | WEXFORD
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15090-6932
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-302-6019
-----------------------------------------------------
Fax | 724-934-1307
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 306 HIGH OAKS CT
-----------------------------------------------------
City | WEXFORD
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15090-9102
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-302-6019
-----------------------------------------------------
Fax | 724-934-1307
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | PS006300L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------