Provider Demographics
NPI:1285903252
Name:SCHNEIDER, PERIN G (MSEDCCCSLP)
Entity type:Individual
Prefix:MS
First Name:PERIN
Middle Name:G
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MSEDCCCSLP
Other - Prefix:MS
Other - First Name:PERIN
Other - Middle Name:GARCIA
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSEDCCCSLP
Mailing Address - Street 1:11 ROSEMARIE LN
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-2932
Mailing Address - Country:US
Mailing Address - Phone:845-628-8716
Mailing Address - Fax:
Practice Address - Street 1:11 ROSEMARIE LN
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-2932
Practice Address - Country:US
Practice Address - Phone:845-628-8716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY58008983235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist