Provider Demographics
NPI:1891599510
Name:SCHINDLER, RYAN ETHAN
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:ETHAN
Last Name:SCHINDLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 POTRERO ST STE 29-203
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-2759
Mailing Address - Country:US
Mailing Address - Phone:831-461-4318
Mailing Address - Fax:
Practice Address - Street 1:303 POTRERO ST STE 29-203
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-2759
Practice Address - Country:US
Practice Address - Phone:831-461-4318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA135001106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist