Provider Demographics
NPI:1073829008
Name:SCHMALBACH, MARY BETH (LCPC)
Entity Type:Individual
Prefix:
First Name:MARY BETH
Middle Name:
Last Name:SCHMALBACH
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2227 OLD EMMORTON RD
Mailing Address - Street 2:SUITE 119
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6187
Mailing Address - Country:US
Mailing Address - Phone:410-893-4600
Mailing Address - Fax:410-569-0094
Practice Address - Street 1:2227 OLD EMMORTON RD
Practice Address - Street 2:SUITE 119
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6187
Practice Address - Country:US
Practice Address - Phone:410-893-4600
Practice Address - Fax:410-569-0094
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3598101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional