Provider Demographics
NPI:1629302849
Name:SCHNEIDER, DANA L (AUD)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:L
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:L
Other - Last Name:CLAXTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5416 BERMUDA BAY DR
Mailing Address - Street 2:1A
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-6156
Mailing Address - Country:US
Mailing Address - Phone:419-366-8579
Mailing Address - Fax:
Practice Address - Street 1:974 BETHEL RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-2467
Practice Address - Country:US
Practice Address - Phone:614-538-2424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA 01714231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
4277511Medicare PIN