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NPI Code Detail

MEDICARE: DR. NEIL SCHUITEVOERDER PH.D.

MEDICARE:  DR. NEIL  SCHUITEVOERDER  PH.D.
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
1103TC0700XClinical PsychologistPSY11859CA

General Provider Information

NPI Number : 1356493209
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NEIL SCHUITEVOERDER PH.D.
Provider Business Mailing Address
First Line : 21241 VENTURA BLVD
Second Line : SUITE 269
City : WOODLAND HILLS
State : CA
Zip : 91364-2108
Country : US
Telephone Number : 818-348-2348
Fax Number :
Provider Business Practice Location Address
First Line : 21241 VENTURA BLVD
Second Line : SUITE 269
City : WOODLAND HILLS
State : CA
Zip : 91364-2108
Country : US
Telephone Number : 818-348-2348
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 07/08/2007

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