Provider Demographics
NPI:1205989225
Name:SCHNEIDER, TIFFANY ELISE (MS, NCC, LPC)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:ELISE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:MISS
Other - First Name:TIFFANY
Other - Middle Name:ELISE
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,NCC,LPC
Mailing Address - Street 1:3350 TOWNSHIP LINE RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-1925
Mailing Address - Country:US
Mailing Address - Phone:610-888-6021
Mailing Address - Fax:
Practice Address - Street 1:3350 TOWNSHIP LINE RD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-1925
Practice Address - Country:US
Practice Address - Phone:610-888-6021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003720101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional