MEDICARE: DR. ELIZABETH MARIE SCHNEIDER 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
1	103T00000X	Psychologist	PY 8798	FL

General Provider Information

NPI Number	:	1841638053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH MARIE SCHNEIDER PH.D.

Provider Business Mailing Address
First Line	:	6000 TURKEY LAKE RD STE 101
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-4205
Country	:	US
Telephone Number	:	321-209-0651
Fax Number	:	888-372-5621

Provider Business Practice Location Address
First Line	:	6000 TURKEY LAKE RD STE 101
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-4205
Country	:	US
Telephone Number	:	321-209-0651
Fax Number	:	888-372-5621

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

Provider Enumeration Date	:	06/10/2013
Last Update Date	:	12/19/2013

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