Provider Demographics
NPI:1154457232
Name:SCHOLZ, ROBERT C (MS, LMHC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:C
Last Name:SCHOLZ
Suffix:
Gender:M
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BERRYWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:MA
Mailing Address - Zip Code:01834-1060
Mailing Address - Country:US
Mailing Address - Phone:339-883-2149
Mailing Address - Fax:
Practice Address - Street 1:65 NEWBURY ST
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1040
Practice Address - Country:US
Practice Address - Phone:978-750-6828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6097101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health