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Individual

DR. PAUL A. SCHNEIDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
6320 LATONA CT, INDIANAPOLIS, IN 46278-1991
(317) 291-4882
Mailing address
6320 LATONA CT, INDIANAPOLIS, IN 46278-1991
(317) 291-4882

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040011
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100227720 A
IN
Enumeration date
11/08/2005
Last updated
12/08/2009
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