Provider Demographics
NPI:1215809694
Name:SCHNEIDERMAN, SOPHIA (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:
Last Name:SCHNEIDERMAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 BURNETT TER
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-2327
Mailing Address - Country:US
Mailing Address - Phone:973-378-1173
Mailing Address - Fax:
Practice Address - Street 1:36 BURNETT TER
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-2327
Practice Address - Country:US
Practice Address - Phone:973-378-1173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS01106900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist