Individual
DR. JASON M SCHMOTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
160 COMMONWEALTH AVE STE U3, BOSTON, MA 02116-2749
(617) 259-1895
Mailing address
160 COMMONWEALTH AVE STE U3, BOSTON, MA 02116-2749
(617) 259-1895
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11453
MA
103TC0700X
Clinical Psychologist
048.0134153
VT
103TC0700X
Clinical Psychologist
PY7006
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY7006
STATE LICENSE
FL
Enumeration date
06/21/2006
Last updated
04/13/2021
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