Provider Demographics
NPI:1407006687
Name:SCHNEEMAN, PATRICIA MCCLINTOCK (LSATP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:MCCLINTOCK
Last Name:SCHNEEMAN
Suffix:
Gender:F
Credentials:LSATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 N QUINCY ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-2136
Mailing Address - Country:US
Mailing Address - Phone:703-841-0703
Mailing Address - Fax:703-243-7956
Practice Address - Street 1:521 N QUINCY ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-2136
Practice Address - Country:US
Practice Address - Phone:703-841-0703
Practice Address - Fax:703-243-7956
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0718000197101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)