Provider Demographics
NPI:1760252068
Name:SCHMELTER, ERIN MAE
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MAE
Last Name:SCHMELTER
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 1:58 SUNNYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-5119
Mailing Address - Country:US
Mailing Address - Phone:860-712-0711
Mailing Address - Fax:
Practice Address - Street 1:58 SUNNYVIEW DR
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-5119
Practice Address - Country:US
Practice Address - Phone:860-712-0711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician