Provider Demographics
NPI:1851526578
Name:SCHNEIDER, LEAH JAYNE (IDMT)
Entity type:Individual
Prefix:MS
First Name:LEAH
Middle Name:JAYNE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:IDMT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:CMR 402 BOX 1446
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180-1446
Mailing Address - Country:US
Mailing Address - Phone:314-590-7263
Mailing Address - Fax:314-486-5430
Practice Address - Street 1:CMR 402 BOX 1446
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09180-1446
Practice Address - Country:US
Practice Address - Phone:314-590-7263
Practice Address - Fax:314-486-5430
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians