Provider Demographics
NPI:1497862148
Name:SCHNEIDER, MARY J (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:J
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:45 LYME RD
Mailing Address - Street 2:SUITE 202A
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-1219
Mailing Address - Country:US
Mailing Address - Phone:603-643-6221
Mailing Address - Fax:603-643-6221
Practice Address - Street 1:45 LYME RD
Practice Address - Street 2:SUITE 202A
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-1219
Practice Address - Country:US
Practice Address - Phone:603-643-6221
Practice Address - Fax:603-643-6221
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2024-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH724103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0600398Y0NH01OtherANTHEM BCBS
NH1497862148OtherCIGNA
NH1497862148OtherCIGNA