Provider Demographics
NPI:1053604140
Name:PATRICIA COURI SCHNIEDWIND, PSY.D., P.L.L.C.
Entity type:Organization
Organization Name:PATRICIA COURI SCHNIEDWIND, PSY.D., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:COURI
Authorized Official - Last Name:SCHNIEDWIND
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:719-229-9739
Mailing Address - Street 1:2475 ROSSMERE ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-4867
Mailing Address - Country:US
Mailing Address - Phone:719-229-9739
Mailing Address - Fax:719-457-5915
Practice Address - Street 1:407 S TEJON ST
Practice Address - Street 2:SUITE A
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2146
Practice Address - Country:US
Practice Address - Phone:719-229-9739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO333-2251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1104141076OtherDR. PATRICIA COURI SCHNIEDWIND