Provider Demographics
NPI:1043788847
Name:SCHNEIDER-GANS, NATAN (MA, LAC)
Entity Type:Individual
Prefix:
First Name:NATAN
Middle Name:
Last Name:SCHNEIDER-GANS
Suffix:
Gender:M
Credentials:MA, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 HADDONFIELD RD STE 316
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-4802
Mailing Address - Country:US
Mailing Address - Phone:856-406-4482
Mailing Address - Fax:
Practice Address - Street 1:53 HADDONFIELD RD STE 316
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-4802
Practice Address - Country:US
Practice Address - Phone:856-406-4482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-09
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00419100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional