Provider Demographics
NPI:1073383808
Name:SCHNEIDER, FRIEDEL ELISABETH
Entity Type:Individual
Prefix:
First Name:FRIEDEL
Middle Name:ELISABETH
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20080
Mailing Address - Street 2:RPO SHERWOOD
Mailing Address - City:CHARLOTTETOWN
Mailing Address - State:PE
Mailing Address - Zip Code:C1A9E3
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HILLSBOROUGH HOSPITAL
Practice Address - Street 2:DEACON GROVE LN
Practice Address - City:CHARLOTTETOWN
Practice Address - State:PE
Practice Address - Zip Code:C1C 1M2
Practice Address - Country:CA
Practice Address - Phone:902-626-5511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1572932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry