Individual
KRSITEN SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5075 FAIRMONT RD SE, SMYRNA, GA 30082-5112
(678) 296-6756
Mailing address
5075 FAIRMONT RD SE, SMYRNA, GA 30082-5112
(678) 296-6756
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002220
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCET002220
STATE LICENSE PCET002220
GA
Enumeration date
12/12/2015
Last updated
12/12/2015
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