Provider Demographics
NPI:1649282617
Name:SCHNEIDER, TERESE M (DNP, PMHNP, PMHCNS)
Entity type:Individual
Prefix:DR
First Name:TERESE
Middle Name:M
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:DNP, PMHNP, PMHCNS
Other - Prefix:
Other - First Name:TERESE
Other - Middle Name:M
Other - Last Name:OLSZEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, PMHCNS
Mailing Address - Street 1:925 ADELE AVE
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98312-3521
Mailing Address - Country:US
Mailing Address - Phone:360-473-0346
Mailing Address - Fax:360-473-0371
Practice Address - Street 1:925 ADELE AVE
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312
Practice Address - Country:US
Practice Address - Phone:360-473-0346
Practice Address - Fax:360-473-0371
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60592383363LP0808X
NJ26NJ00118100363LP0808X
PARN299582L364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult