Doctor Name: | MRS. JENNIFER ANNE SCHULTZ BRAY |
NPI Number: | 1083607964 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 609 |
Business Practice Address: | 6 Pondview Pl Tyngsboro, MA - 018791068 |
Business Phone Number: | 9786499980 |
Business Fax Number: | |
Mailing Address: | 80 West St, PEPPERELL |
State: | MA |
Postal Code: | 014631230 |
Phone Number: | 9789259293 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2005 |
NPI Last Update Date: | 05/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 609 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |