Provider Demographics
NPI:1689868994
Name:SCHNEIDER, GAIL B (AA)
Entity Type:Individual
Prefix:MISS
First Name:GAIL
Middle Name:B
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:AA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 LANKERSHIM BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-3155
Mailing Address - Country:US
Mailing Address - Phone:818-980-3200
Mailing Address - Fax:
Practice Address - Street 1:5200 LANKERSHIM BLVD
Practice Address - Street 2:SUITE 170
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-3184
Practice Address - Country:US
Practice Address - Phone:818-980-3200
Practice Address - Fax:818-980-3203
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator