Individual
ROBERT J. SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
(781) 849-2275
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8051
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4467
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014246
NEIGHBORHOOD HEALTH PLAN
MA
01
—
669490
TUFTS HEALTH PLAN
MA
01
—
W04399
BLUE CROSS
MA
Enumeration date
07/26/2006
Last updated
04/08/2009
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