MEDICARE: CHRISTINA SCHNYDERS PH.D., PC-CR

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
1	101Y00000X	Counselor	0501167	OH

General Provider Information

NPI Number	:	1295149193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA SCHNYDERS PH.D., PC-CR

Provider Business Mailing Address
First Line	:	7300 WHIPPLE AVE NW
Second Line	:	SUITE 2
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-7159
Country	:	US
Telephone Number	:	330-305-9100
Fax Number	:	330-305-9103

Provider Business Practice Location Address
First Line	:	7300 WHIPPLE AVE NW
Second Line	:	SUITE 2
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-7159
Country	:	US
Telephone Number	:	330-305-9100
Fax Number	:	330-305-9103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2014
Last Update Date	:	06/18/2014

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