Provider Demographics
NPI:1194874339
Name:SCHNEIDER MEISEL, EDITH ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:EDITH
Middle Name:ANN
Last Name:SCHNEIDER MEISEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BRISTAL KNOLL RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711
Mailing Address - Country:US
Mailing Address - Phone:302-369-6736
Mailing Address - Fax:
Practice Address - Street 1:290 E MAIN STREET
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711
Practice Address - Country:US
Practice Address - Phone:302-369-6736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE101Y00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist