Healthcare Provider Details

I. General information

NPI: 1003775362
Provider Name (Legal Business Name): BENJAMIN MICHAEL SCHNEIDER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 RICHMAN ST
CLINTON MA
01510-2459
US

IV. Provider business mailing address

20 RICHMAN ST
CLINTON MA
01510-2459
US

V. Phone/Fax

Practice location:
  • Phone: 508-826-5817
  • Fax:
Mailing address:
  • Phone: 508-826-5817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: