Provider Demographics
NPI:1801346457
Name:SCHNEIDER, SUSAN L (LMFT)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:L
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:L
Other - Last Name:BRONSON-SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAMFT
Mailing Address - Street 1:3549 E. MORELOS COURT
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295
Mailing Address - Country:US
Mailing Address - Phone:480-331-1850
Mailing Address - Fax:
Practice Address - Street 1:3549 E. MORELOS COURT
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295
Practice Address - Country:US
Practice Address - Phone:480-331-1850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-06
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAMFT-5690T106H00000X
AZLMFT15856106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist