Provider Demographics
NPI:1972875250
Name:SCHNEIDER, VANESSA DAISY (MA)
Entity type:Individual
Prefix:MISS
First Name:VANESSA
Middle Name:DAISY
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:DAISY
Other - Last Name:ROJO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:420 S SAN PEDRO ST
Mailing Address - Street 2:UNIT G4
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90013-2182
Mailing Address - Country:US
Mailing Address - Phone:213-620-5712
Mailing Address - Fax:213-621-4155
Practice Address - Street 1:420 S SAN PEDRO ST
Practice Address - Street 2:UNIT G4
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90013-2182
Practice Address - Country:US
Practice Address - Phone:213-620-5712
Practice Address - Fax:213-621-4155
Is Sole Proprietor?:No
Enumeration Date:2012-02-02
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84498106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist