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NPI Code Detail

MEDICARE: DR. JEFFREY H SCHNITZER BA M. ED ED.D. LSP

MEDICARE: DR. JEFFREY H SCHNITZER BA M. ED ED.D. LSP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TB0200XCognitive & Behavioral Psychologist253541MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11134778145OTHERNPPES

General Provider Information

NPI Number : 1679117766
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY H SCHNITZER BA M. ED ED.D. LSP
Provider Business Mailing Address
First Line : 127 CONCORD AVE
Second Line :
City : LEXINGTON
State : MA
Zip : 02421-8203
Country : US
Telephone Number : 781-504-1374
Fax Number : 781-862-5666
Provider Business Practice Location Address
First Line : 127 CONCORD AVE
Second Line :
City : LEXINGTON
State : MA
Zip : 02421-8203
Country : US
Telephone Number : 781-504-1374
Fax Number : 781-862-5666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2019
Last Update Date : 10/31/2019

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