Provider Demographics
NPI:1396215869
Name:CHARTIER, SCHUYLER GRACE (MT-BC)
Entity Type:Individual
Prefix:
First Name:SCHUYLER
Middle Name:GRACE
Last Name:CHARTIER
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 W WYNCLIFFE AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:19018-1229
Mailing Address - Country:US
Mailing Address - Phone:610-329-3141
Mailing Address - Fax:610-449-5566
Practice Address - Street 1:2050 W. CHESTER PIKE
Practice Address - Street 2:SUITE 115
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-2742
Practice Address - Country:US
Practice Address - Phone:610-449-9669
Practice Address - Fax:610-449-5566
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-27
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA14708225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103591610001Medicaid