Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY 24733 | CA |
Y | 103G00000X | Clinical Psychologist | PSY 24733 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY 24733 | CA |
NPI | 1225403223 |
---|---|
Provider Name | Dr. Kristin Grace Schneider |
First Address | Monterey, CA 93942-1662 |
Second Address | Monterey, CA 93940-4437 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2015 |
Last Update Date | 25/09/2016 |