Doctor Name: | JILL SCHMITT |
NPI Number: | 1023337680 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1075 Broadway 1st Floor Rooms 250a And 258 Pleasantville, NY - 105702346 |
Business Phone Number: | 9147736940 |
Business Fax Number: | 9147698505 |
Mailing Address: | Po Box 31094, HARTFORD |
State: | CT |
Postal Code: | 061501094 |
Phone Number: | 5189528140 |
Fax Number: | 5189528287 |
NPI Enumeration Date: | 05/21/2010 |
NPI Last Update Date: | 05/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |