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Individual

DR. JACK HENRY SCHNELLER JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1109 W EUCLID AVE, DELAND, FL 32720-6553
(386) 943-9040
(386) 943-9937
Mailing address
2259 S SPRING GARDEN AVE, DELAND, FL 32720-4472
(386) 747-1351
(386) 943-9937

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS833
FL

Other

Enumeration date
01/25/2006
Last updated
07/08/2007
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