Provider Demographics
NPI:1336591007
Name:SCHNEIDER, BRET (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BRET
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14525 HIGHWAY 7 # 355
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-3734
Mailing Address - Country:US
Mailing Address - Phone:612-356-2756
Mailing Address - Fax:612-712-9214
Practice Address - Street 1:14525 HIGHWAY 7 # 355
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-3734
Practice Address - Country:US
Practice Address - Phone:612-356-2746
Practice Address - Fax:612-712-9214
Is Sole Proprietor?:No
Enumeration Date:2016-07-06
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP6087103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1023258662Medicaid