Provider Demographics
NPI:1659316834
Name:SCHNEIDERMAN, KATHLEEN THERESE (MD)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:THERESE
Last Name:SCHNEIDERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1995 ZINFANDEL DRIVE
Mailing Address - Street 2:#105
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670
Mailing Address - Country:US
Mailing Address - Phone:916-638-4000
Mailing Address - Fax:916-638-0745
Practice Address - Street 1:1995 ZINFANDEL DR
Practice Address - Street 2:#105
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670
Practice Address - Country:US
Practice Address - Phone:916-638-4000
Practice Address - Fax:916-638-0745
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34767208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics