Provider Demographics
NPI:1346430022
Name:ALAN L SCHNEIDER MD PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ALAN L SCHNEIDER MD PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-472-1132
Mailing Address - Street 1:13547 VENTURA BLVD # 376
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3825
Mailing Address - Country:US
Mailing Address - Phone:818-990-0563
Mailing Address - Fax:818-786-0530
Practice Address - Street 1:4558 SHERMAN OAKS AVE STE D
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3017
Practice Address - Country:US
Practice Address - Phone:818-990-0563
Practice Address - Fax:818-786-0530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG534022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty