Schmitt, Beth Broderick
Schmitt, Beth Broderick is an sole proprietor health care provider with primary practice located at 84 High St 2A, Medford MA 02155-3844. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Schmitt, Beth Broderick can be contacted via phone (781) 662-4890.Contact Information
Primary practice address
84 High St 2A
Medford MA 02155-3844
Phone: (781) 662-4890
Fax: (781) 395-2909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 104972 | Massachusetts |
Profile Details
| NPI number | 1801941448 |
|---|---|
| LBN Legal business name | Schmitt, Beth Broderick |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801941448 | NPPES |
| Massachusetts | Other | PO3171 | BLUE CROSS BLUE SHIELD |
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