Individual
SANDRA L SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
14939 RANGE LINE RD, BUCHANAN, MI 49107-9113
(615) 483-1487
Mailing address
14939 RANGE LINE RD, BUCHANAN, MI 49107-9113
(615) 483-1487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
22006177A
IN
235Z00000X
Speech-Language Pathologist
Primary
7101003771
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22006177A
LICENSE
IN
01
—
7101003771
LICENSE
MI
Enumeration date
10/25/2018
Last updated
10/25/2018
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