Provider Demographics
NPI:1447769575
Name:SCHNEIDER, TINA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:TINA
Middle Name:M
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:670 MERIDIAN WAY STE 163
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-2302
Mailing Address - Country:US
Mailing Address - Phone:614-653-5281
Mailing Address - Fax:614-675-4449
Practice Address - Street 1:670 MERIDIAN WAY STE 163
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-2302
Practice Address - Country:US
Practice Address - Phone:614-653-5281
Practice Address - Fax:614-675-4449
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2023-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHP.07857103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1679191316OtherTYPE 2 NPI: ORGANIZATION: MONARCH COUNSELING