Provider Demographics
NPI:1396223475
Name:SCHIFFER, MOLLY B (LCPC)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:B
Last Name:SCHIFFER
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 1:11350 MCCORMICK EP 3 RD STE LL4
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-8916
Mailing Address - Country:US
Mailing Address - Phone:410-927-5462
Mailing Address - Fax:
Practice Address - Street 1:11350 MCCORMICK EP 3 RD STE LL4
Practice Address - Street 2:
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21031-8916
Practice Address - Country:US
Practice Address - Phone:410-927-5462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC8863101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional