Provider Demographics
NPI:1184927949
Name:SCHNECK, ANITA E (MA)
Entity type:Individual
Prefix:MS
First Name:ANITA
Middle Name:E
Last Name:SCHNECK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 WHARTON CIR
Mailing Address - Street 2:
Mailing Address - City:LOWER GWYNEDD
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2530
Mailing Address - Country:US
Mailing Address - Phone:215-641-0689
Mailing Address - Fax:
Practice Address - Street 1:925 WHARTON CIR
Practice Address - Street 2:
Practice Address - City:LOWER GWYNEDD
Practice Address - State:PA
Practice Address - Zip Code:19002-2530
Practice Address - Country:US
Practice Address - Phone:215-641-0689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist