Provider Demographics
NPI:1346332962
Name:SCHLECHTER, MARCIA JO
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:JO
Last Name:SCHLECHTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BENEDICT PL
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-5358
Mailing Address - Country:US
Mailing Address - Phone:203-422-0303
Mailing Address - Fax:203-422-0303
Practice Address - Street 1:2 BENEDICT PL
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5358
Practice Address - Country:US
Practice Address - Phone:203-422-0303
Practice Address - Fax:203-422-0303
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0036291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical