1619136066 NPI number — MS. DOREEN SHEILA SCHNEIDER MFT

Table of content: MS. DOREEN SHEILA SCHNEIDER MFT (NPI 1619136066)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619136066 NPI number — MS. DOREEN SHEILA SCHNEIDER MFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHNEIDER
Provider First Name:
DOREEN
Provider Middle Name:
SHEILA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RICHMAN
Provider Other First Name:
DOREEN
Provider Other Middle Name:
SHEILA
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1619136066
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/29/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24273 HIGHLANDER ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST HILLS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91307
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-269-3991
Provider Business Mailing Address Fax Number:
818-887-5694

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20700 VENTURA BLVD
Provider Second Line Business Practice Location Address:
SUITE 203
Provider Business Practice Location Address City Name:
WOODLAND HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91364-2357
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-269-3991
Provider Business Practice Location Address Fax Number:
818-884-2735
Provider Enumeration Date:
06/02/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  MFT14917 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1619136066 . This is a "DO NOT HAVE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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