Provider Demographics
NPI:1134199425
Name:SCHMOTZER, CHARLOTTE ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:ANN
Last Name:SCHMOTZER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4832 EVERETT RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-1016
Mailing Address - Country:US
Mailing Address - Phone:330-659-4464
Mailing Address - Fax:330-665-5408
Practice Address - Street 1:1099 S CLEVELAND MASSILLON RD
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-1659
Practice Address - Country:US
Practice Address - Phone:330-665-5408
Practice Address - Fax:330-665-5408
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE . 0002220101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional