Individual
MADALYN R SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
16216 BAXTER RD STE 205, CHESTERFIELD, MO 63017-4778
(636) 532-9188
(314) 289-9414
Mailing address
1129 MACKLIND AVE, SAINT LOUIS, MO 63110-1440
(314) 289-9408
(314) 289-9414
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2018029947
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018029947
STATE LICENSE
MO
Enumeration date
08/17/2018
Last updated
08/17/2018
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