Provider Demographics
NPI:1528199130
Name:HENRY-SCHNEIDER, PATRICIA ELLEN (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ELLEN
Last Name:HENRY-SCHNEIDER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:SCHNEIDER
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC
Mailing Address - Street 1:PO BOX 5400
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-0400
Mailing Address - Country:US
Mailing Address - Phone:541-953-7999
Mailing Address - Fax:
Practice Address - Street 1:541 WILLAMETTE ST
Practice Address - Street 2:SUITE 208E
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2612
Practice Address - Country:US
Practice Address - Phone:541-953-7999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC0779101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR354169OtherMHN PIN