Provider Demographics
NPI:1134778145
Name:SCHNITZER ASSOCIATES, INCORPORATED
Entity type:Organization
Organization Name:SCHNITZER ASSOCIATES, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:HOLDEN
Authorized Official - Last Name:SCHNITZER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD MA LSP #253541
Authorized Official - Phone:781-504-1374
Mailing Address - Street 1:127 CONCORD AVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-8203
Mailing Address - Country:US
Mailing Address - Phone:781-504-1374
Mailing Address - Fax:781-862-5666
Practice Address - Street 1:127 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-8203
Practice Address - Country:US
Practice Address - Phone:781-504-1374
Practice Address - Fax:781-862-5666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health