| Henry D. Schneider, Ph.d., Lcsw, Inc. | |
|
2804 Forum Blvd 3a Columbia MO 65203-6322 | |
| (573) 446-6290 | |
| (573) 446-0618 |
| Full Name | Henry D. Schneider, Ph.d., Lcsw, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2804 Forum Blvd, Columbia, Missouri |
| Authorized Official Name and Position | Henry D Schneider (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5734466290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry D. Schneider, Ph.d., Lcsw, Inc. 2804 Forum Blvd 3a Columbia MO 65203-6322 Ph: (573) 446-6290 | Henry D. Schneider, Ph.d., Lcsw, Inc. 2804 Forum Blvd 3a Columbia MO 65203-6322 Ph: (573) 446-6290 |
| NPI Number | 1215230602 |
|---|---|
| Provider Enumeration Date | 12/07/2010 |
| Last Update Date | 12/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215230602 | NPI | - | NPPES |
| 756819504 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 000600 (Missouri) | Primary |
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