Provider Demographics
NPI:1528750163
Name:SCHNEIDER, MADISON LYNN
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:LYNN
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 1:10697 MONROE RD
Mailing Address - Street 2:
Mailing Address - City:ELWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48832-9513
Mailing Address - Country:US
Mailing Address - Phone:989-534-5191
Mailing Address - Fax:
Practice Address - Street 1:724 E SUPERIOR ST
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:MI
Practice Address - Zip Code:48801-1900
Practice Address - Country:US
Practice Address - Phone:989-796-4555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician