Provider Demographics
NPI:1306652532
Name:SCHNEIDER, PAULA
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4106 VT ROUTE 14 S
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH CTR
Mailing Address - State:VT
Mailing Address - Zip Code:05061-9413
Mailing Address - Country:US
Mailing Address - Phone:802-431-6399
Mailing Address - Fax:
Practice Address - Street 1:51 MEADOW RD
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6131
Practice Address - Country:US
Practice Address - Phone:802-431-6399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0000414101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health