Provider Demographics
NPI:1639473895
Name:SCHNEIDER, CHRISTINE CAROL (MA CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:CAROL
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 S TAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:KIRKWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63122-4324
Mailing Address - Country:US
Mailing Address - Phone:314-966-5813
Mailing Address - Fax:
Practice Address - Street 1:10094 LITZSINGER RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-1132
Practice Address - Country:US
Practice Address - Phone:314-989-8853
Practice Address - Fax:314-989-8870
Is Sole Proprietor?:No
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005031150235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist