Provider Demographics
NPI:1578187613
Name:SCHNEIDER-PRUETT, NANCY
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:SCHNEIDER-PRUETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:THE NEUROPSYCHOLOGY SERVICE
Mailing Address - Street 2:100 CUMMINGS CENTER
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01982
Mailing Address - Country:US
Mailing Address - Phone:978-922-6661
Mailing Address - Fax:
Practice Address - Street 1:THE NEUROPSYCHOLOGY SERVICE
Practice Address - Street 2:100 CUMMINGS CENTER
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01982
Practice Address - Country:US
Practice Address - Phone:978-922-6661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6564103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist