MEDICARE: MARY A. SCHLIMM L.P.C.

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
1	101YP2500X	Professional Counselor	0701002540	VA

General Provider Information

NPI Number	:	1639170376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY A. SCHLIMM L.P.C.

Provider Business Mailing Address
First Line	:	800 PRESTON AVE
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22903-4420
Country	:	US
Telephone Number	:	434-970-1370
Fax Number	:	434-972-1740

Provider Business Practice Location Address
First Line	:	800 PRESTON AVE
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22903-4420
Country	:	US
Telephone Number	:	434-970-1370
Fax Number	:	434-972-1740

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	07/08/2007

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