Provider Demographics
NPI:1912592841
Name:SCHNECKENBURGER, PETER B (MA)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:B
Last Name:SCHNECKENBURGER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 PRIDE DR
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401-9523
Mailing Address - Country:US
Mailing Address - Phone:985-419-1666
Mailing Address - Fax:985-429-8999
Practice Address - Street 1:615 PRIDE DR
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-9523
Practice Address - Country:US
Practice Address - Phone:985-419-1666
Practice Address - Fax:985-429-8999
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)