Healthcare Provider Details

I. General information

NPI: 1093289043
Provider Name (Legal Business Name): CYNTHIA LOUISE SCHOTT CHT, CRT, MPMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2019
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 S INDEPENDENCE BLVD STE 105
VIRGINIA BEACH VA
23452-1149
US

IV. Provider business mailing address

1844 SAVILLE GARDEN CT
VIRGINIA BEACH VA
23453-7006
US

V. Phone/Fax

Practice location:
  • Phone: 757-754-7085
  • Fax:
Mailing address:
  • Phone: 757-754-7085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: