Provider Demographics
NPI:1033474846
Name:SCHNEIDER, MELISSA JANE
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:JANE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:JANE
Other - Last Name:SAGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:813 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:IL
Mailing Address - Zip Code:62450-2967
Mailing Address - Country:US
Mailing Address - Phone:812-230-6645
Mailing Address - Fax:
Practice Address - Street 1:813 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:IL
Practice Address - Zip Code:62450-2967
Practice Address - Country:US
Practice Address - Phone:812-230-6645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-08
Last Update Date:2012-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist