Provider Demographics
NPI:1518397892
Name:SCHNEIDER, STEPHANIE (MS LPC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 ELM AVE
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-1118
Mailing Address - Country:US
Mailing Address - Phone:610-324-1312
Mailing Address - Fax:
Practice Address - Street 1:602 ELM AVE
Practice Address - Street 2:
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-1118
Practice Address - Country:US
Practice Address - Phone:610-324-1312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005919101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional