Provider Demographics
NPI:1811201049
Name:SCHNEIDER, NICHOLAS P (LPC)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:P
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1466 WATER ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-2919
Mailing Address - Country:US
Mailing Address - Phone:715-341-6672
Mailing Address - Fax:715-341-8004
Practice Address - Street 1:1466 WATER ST
Practice Address - Street 2:SUITE 2
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-2919
Practice Address - Country:US
Practice Address - Phone:715-341-6672
Practice Address - Fax:715-341-8004
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4316-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health