Provider Demographics
NPI:1114184421
Name:SCHNEIDER, JANET CHRISTINE (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:CHRISTINE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:J
Other - Middle Name:CHRISTINE
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:605 B ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-3805
Mailing Address - Country:US
Mailing Address - Phone:415-662-2072
Mailing Address - Fax:415-662-2072
Practice Address - Street 1:605 B ST
Practice Address - Street 2:SUITE B
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-3805
Practice Address - Country:US
Practice Address - Phone:415-662-2072
Practice Address - Fax:415-662-2072
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG0584362084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry