Provider Demographics
NPI:1770290058
Name:SCHNEIDER, PATRICIA JEAN (MA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JEAN
Last Name:SCHNEIDER
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:PO BOX 655
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-0655
Mailing Address - Country:US
Mailing Address - Phone:855-454-2463
Mailing Address - Fax:320-295-7898
Practice Address - Street 1:9382 OAK AVE
Practice Address - Street 2:
Practice Address - City:WACONIA
Practice Address - State:MN
Practice Address - Zip Code:55387-9422
Practice Address - Country:US
Practice Address - Phone:855-454-2463
Practice Address - Fax:320-295-7898
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty