Provider Demographics
NPI:1720604085
Name:SCHNELL, AMY MEREDITH (MS)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MEREDITH
Last Name:SCHNELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 HANCOCK CT
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-3905
Mailing Address - Country:US
Mailing Address - Phone:262-490-4765
Mailing Address - Fax:
Practice Address - Street 1:914 HANCOCK CT
Practice Address - Street 2:
Practice Address - City:OCONOMOWOC
Practice Address - State:WI
Practice Address - Zip Code:53066-3905
Practice Address - Country:US
Practice Address - Phone:262-490-4765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health