Provider Demographics
NPI:1629291315
Name:SCHNABLE, RICHARD HERBERT (PHD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:HERBERT
Last Name:SCHNABLE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:LYNDEBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03082-6305
Mailing Address - Country:US
Mailing Address - Phone:603-654-6768
Mailing Address - Fax:
Practice Address - Street 1:109 PONEMAH RD
Practice Address - Street 2:SUITE 2
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-2834
Practice Address - Country:US
Practice Address - Phone:603-673-1133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH289103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical