Provider Demographics
NPI:1053723270
Name:SCHNEEBERGER, KATHERINE (LPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:SCHNEEBERGER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 LUCERNE DR APT A11
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-6524
Mailing Address - Country:US
Mailing Address - Phone:440-476-7084
Mailing Address - Fax:
Practice Address - Street 1:7601 LUCERNE DR APT A11
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-6524
Practice Address - Country:US
Practice Address - Phone:440-476-7084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1100171101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health