Provider Demographics
NPI:1790039857
Name:SCHNEIDER, HARRIET S (DA, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:HARRIET
Middle Name:S
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:DA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7975 YORKSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-1323
Mailing Address - Country:US
Mailing Address - Phone:561-716-1211
Mailing Address - Fax:
Practice Address - Street 1:7975 YORKSHIRE CT
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-1323
Practice Address - Country:US
Practice Address - Phone:561-716-1211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-28
Last Update Date:2012-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA0001887235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist