Provider Demographics
NPI:1285511329
Name:SCHNEIDER, ALYSSA (MT-BC)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07403-1530
Mailing Address - Country:US
Mailing Address - Phone:203-837-7206
Mailing Address - Fax:203-837-7206
Practice Address - Street 1:49 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:NJ
Practice Address - Zip Code:07403-1530
Practice Address - Country:US
Practice Address - Phone:203-837-7206
Practice Address - Fax:203-837-7206
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT17632225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist