Provider Demographics
NPI:1235205832
Name:SCHNEIDER, H G (PHD)
Entity Type:Individual
Prefix:DR
First Name:H
Middle Name:G
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 WILSON DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-8781
Mailing Address - Country:US
Mailing Address - Phone:828-268-2172
Mailing Address - Fax:828-268-2173
Practice Address - Street 1:249 WILSON DR
Practice Address - Street 2:SUITE 5
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-8781
Practice Address - Country:US
Practice Address - Phone:828-268-2172
Practice Address - Fax:828-268-2173
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC558103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6000496Medicaid
NC04510OtherBC BS