Provider Demographics
NPI:1003930249
Name:SCHNEIDER, GEOFFREY ALEXANDER (LMFT)
Entity Type:Individual
Prefix:MR
First Name:GEOFFREY
Middle Name:ALEXANDER
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 EL PASEO RD
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-2450
Mailing Address - Country:US
Mailing Address - Phone:805-320-9320
Mailing Address - Fax:805-643-0468
Practice Address - Street 1:701 E. SANTA CLARA STREET
Practice Address - Street 2:SUITE 14-C
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-5959
Practice Address - Country:US
Practice Address - Phone:805-320-9320
Practice Address - Fax:805-643-0468
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC33500106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist