Provider Demographics
NPI:1265580336
Name:SCHREINER, SUSAN PILSON (LMFT, CASAC)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:PILSON
Last Name:SCHREINER
Suffix:
Gender:F
Credentials:LMFT, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 MCFADDEN DR
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-2722
Mailing Address - Country:US
Mailing Address - Phone:631-757-1593
Mailing Address - Fax:
Practice Address - Street 1:1210 MCFADDEN DR
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-2722
Practice Address - Country:US
Practice Address - Phone:631-757-1593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000089106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist