Provider Demographics
NPI:1023225323
Name:SCHMITTER, HAL PRESTON (MA)
Entity type:Individual
Prefix:
First Name:HAL
Middle Name:PRESTON
Last Name:SCHMITTER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 MILL ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-1132
Mailing Address - Country:US
Mailing Address - Phone:802-388-6161
Mailing Address - Fax:802-388-2940
Practice Address - Street 1:12 MILL ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-1132
Practice Address - Country:US
Practice Address - Phone:802-388-6161
Practice Address - Fax:802-388-2940
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT047-0000106103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0006511Medicaid
VTVT0006511Medicare ID - Type Unspecified