Provider Demographics
NPI:1013801232
Name:SCHREIBER, SUZANNE LEA
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:LEA
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28039 SCOTT RD # 159
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-7479
Mailing Address - Country:US
Mailing Address - Phone:970-319-3471
Mailing Address - Fax:
Practice Address - Street 1:28039 SCOTT RD # 159
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-7479
Practice Address - Country:US
Practice Address - Phone:970-319-3471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95190225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist