Healthcare Provider Details

I. General information

NPI: 1336263003
Provider Name (Legal Business Name): EDWARD FRANZ SCHOTT L.M.H.C., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: EDWARD FRANZ PACE-SCHOTT PH.D.

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25R MARKET ST
IPSWICH MA
01938-2211
US

IV. Provider business mailing address

401 COLONIAL DR UNIT 9
IPSWICH MA
01938-1666
US

V. Phone/Fax

Practice location:
  • Phone: 978-356-1776
  • Fax: 978-356-2822
Mailing address:
  • Phone: 978-356-3575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4058
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: