Individual
KENNETH R SCHNEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1820 23RD AVE, MERIDIAN, MS 39301-3105
(601) 513-4268
(601) 282-5851
Mailing address
1820 23RD AVE, MERIDIAN, MS 39301-3105
(601) 513-4268
(601) 282-5851
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
29421
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680011364
RAILROAD MEDICARE
MS
Enumeration date
01/12/2006
Last updated
05/04/2021
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