Provider Demographics
NPI:1619136066
Name:SCHNEIDER, DOREEN SHEILA (MFT)
Entity type:Individual
Prefix:MS
First Name:DOREEN
Middle Name:SHEILA
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MRS
Other - First Name:DOREEN
Other - Middle Name:SHEILA
Other - Last Name:RICHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:24273 HIGHLANDER ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307
Mailing Address - Country:US
Mailing Address - Phone:818-269-3991
Mailing Address - Fax:818-887-5694
Practice Address - Street 1:20700 VENTURA BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2357
Practice Address - Country:US
Practice Address - Phone:818-269-3991
Practice Address - Fax:818-884-2735
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT14917106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1619136066OtherDO NOT HAVE