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NPI Code Detail

MEDICARE: CAITLIN SCHNEIDER

MEDICARE: CAITLIN SCHNEIDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistLP6878MN

General Provider Information

NPI Number : 1235752213
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN SCHNEIDER
Provider Business Mailing Address
First Line : 1600 UNIVERSITY AVE W STE 12
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-3952
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 UNIVERSITY AVE W STE 12
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-3952
Country : US
Telephone Number : 651-379-5157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2020
Last Update Date : 01/13/2023

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Directions to “ CAITLIN SCHNEIDER ” Practice Location

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