Individual
DR. DEBRA FARRAR-SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., H.S.P.P.
Contact information
Practice address
2101 COMEFORD RD, VALPARAISO, IN 46383-8385
(219) 462-6705
(219) 464-4318
Mailing address
PO BOX 1564, VALPARAISO, IN 46384-1564
(219) 462-6705
(219) 464-4318
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
20041239A
IN
103TC0700X
Clinical Psychologist
20041239A
IN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
20041239A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200173830A
—
IN
05
—
200173830B
—
IN
05
—
200447720A
—
IN
05
—
200536380
—
IN
05
—
200650880
—
IN
05
—
200717130A
—
IN
Enumeration date
05/26/2006
Last updated
10/26/2017
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