Moore Schneider, Susan E

Moore Schneider, Susan E is an individual health care provider with primary practice located at 4810 Northwestern Ave , Mount Pleasant WI 53406-1504. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moore Schneider, Susan E can be contacted via phone (262) 637-9984.

Contact Information

Primary practice address
4810 Northwestern Ave Mount Pleasant WI 53406-1504
Phone: (262) 637-9984
Fax: (262) 637-9995
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 278-123 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 132124 Wisconsin

Profile Details

NPI number 1104901222
LBN Legal business name Moore Schneider, Susan E
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Aug 6th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104901222 NPPES
Wisconsin MEDICAID 39571200

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