Provider Demographics
NPI:1487842993
Name:SCHNITZER, JENNIFER J (PHD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:J
Last Name:SCHNITZER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 N BOYLAN AVE
Mailing Address - Street 2:STE. 106
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-1446
Mailing Address - Country:US
Mailing Address - Phone:919-834-4747
Mailing Address - Fax:
Practice Address - Street 1:16 N BOYLAN AVE
Practice Address - Street 2:STE. 106
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-1446
Practice Address - Country:US
Practice Address - Phone:919-834-4747
Practice Address - Fax:919-834-4748
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2821103TC0700X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic