Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 001318 | CT |
N | 103T00000X | Psychologist | 001318 | CT |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 001318 | CT |
Y | 103G00000X | Clinical Psychologist | 001318 | CT |
Y | 103TC0700X | Clinical Psychologist | 001318 | CT |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 001318 | CT |
N | 103TF0000X | Family Psychologist | 001318 | CT |
N | 103TH0004X | Health Psychologist | 001318 | CT |
NPI | 1457574204 |
---|---|
Provider Name | Dr. Amy Peterman Schneider |
First Address | New York, NY 10016-3200 |
Second Address | New York, NY 10016-3200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 10/11/2016 |