Provider Demographics
NPI:1083775563
Name:SCHILD, PETER H (EDD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:H
Last Name:SCHILD
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 THROCKMORTON LN
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-2570
Mailing Address - Country:US
Mailing Address - Phone:732-679-2887
Mailing Address - Fax:732-679-2252
Practice Address - Street 1:18 THROCKMORTON LN
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2570
Practice Address - Country:US
Practice Address - Phone:732-679-2887
Practice Address - Fax:732-679-2252
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100136700103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist