Organization
BETH B. SCHMITT, LICSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH B SCHMITT LICSW (OWNER)
(781) 662-4890
Entity
Organization
Contact information
Practice address
84 HIGH ST, SUITE2A, MEDFORD, MA 02155-3844
(781) 662-4890
Mailing address
84 HIGH ST, SUITE2A, MEDFORD, MA 02155-3844
(781) 662-4890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
104972
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P10239
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/28/2007
Last updated
08/05/2008
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