Provider Demographics
NPI:1518002211
Name:SCHMELZER, GRETCHEN L
Entity Type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:L
Last Name:SCHMELZER
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 1:165 E CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-3627
Mailing Address - Country:US
Mailing Address - Phone:508-651-2494
Mailing Address - Fax:
Practice Address - Street 1:154 E CENTRAL ST
Practice Address - Street 2:SUITE 304
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-3644
Practice Address - Country:US
Practice Address - Phone:508-647-6283
Practice Address - Fax:508-647-6285
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8201103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist