Provider Demographics
NPI:1164694329
Name:SCHNEIDER, AMY L (MFT)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:L
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 S WINCHESTER BLVD APT 4213
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2974
Mailing Address - Country:US
Mailing Address - Phone:408-889-3140
Mailing Address - Fax:
Practice Address - Street 1:4100 MOORPARK AVE STE 116
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95117-1707
Practice Address - Country:US
Practice Address - Phone:408-889-3140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44315106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist