Provider Demographics
NPI:1831603125
Name:SCHNEIDERMAN, BRETT JACOB (AUD)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:JACOB
Last Name:SCHNEIDERMAN
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2627 N 3RD ST STE 100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-1126
Mailing Address - Country:US
Mailing Address - Phone:602-277-4327
Mailing Address - Fax:602-307-5905
Practice Address - Street 1:2627 N 3RD ST STE 100
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1126
Practice Address - Country:US
Practice Address - Phone:602-277-4327
Practice Address - Fax:602-307-5905
Is Sole Proprietor?:No
Enumeration Date:2017-11-22
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10751237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter