Active NPIIndividual providerSole proprietor

Dr. Diane R Schodlatz, EDD

Clinical Neuropsychologist in Chestnut Hill, Massachusetts

NPI Number1942358593
Practice location
72 Fairway RD, Chestnut Hill, MA 02467-1818
Fax
—
Last updated
July 8, 2007

Diane Rae Schodlatz is a Clinical Neuropsychologist based in Chestnut Hill, MA. Diane Rae Schodlatz practices in Chestnut Hill, MA and has the professional credentials of EDD. The NPI Number for Diane Rae Schodlatz is 1942358593 and holds a License No. 2478 (MA). The current practice location address for Diane Rae Schodlatz is 72 Fairway RD, Chestnut Hill, MA 02467-1818 and can be reached out via phone at 617-731-2757.

Provider Profile Details

NPI Number
1942358593
Provider Name
Diane Rae Schodlatz
Credential
EDD
Provider Entity Type
Individual
Gender
Female
Address
72 Fairway RD, Chestnut Hill, MA 02467-1818
Phone Number
617-731-2757
Primary Taxonomy
Clinical Neuropsychologist · 103G00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 8, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
72 Fairway RD
Chestnut Hill, MA 02467-1818
Zip
02467-1818
Phone Number
617-731-2757
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
72 Fairway RD
Chestnut Hill, MA 02467-1818
City
Chestnut Hill
State
MA
Zip
02467-1818
Phone Number
617-731-2757

License Information

License Number
2478
License State
MA
Taxonomy
Clinical Neuropsychologist · 103G00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Diane R Schodlatz, EDD?

The NPI number of Dr. Diane R Schodlatz, EDD is 1942358593. It was assigned on January 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Diane R Schodlatz, EDD?

Dr. Diane R Schodlatz, EDD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in MA under license number 2478.

Where does Dr. Diane R Schodlatz, EDD practice?

The practice location is 72 Fairway RD, Chestnut Hill, MA 02467-1818. The office can be reached at 617-731-2757 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942358593 directly on the NPPES registry website.

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