Provider Demographics
NPI:1760767594
Name:SCHREIBER, AMANDA (MA, PLPC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:MA, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 MORGAN WOODS DR
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-5532
Mailing Address - Country:US
Mailing Address - Phone:314-221-5827
Mailing Address - Fax:
Practice Address - Street 1:14226 LADUE RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3344
Practice Address - Country:US
Practice Address - Phone:314-221-5827
Practice Address - Fax:314-439-0136
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional