Provider Demographics
NPI:1255706511
Name:SCHOTTMILLER, JENNIE LYNN (MA)
Entity type:Individual
Prefix:MRS
First Name:JENNIE
Middle Name:LYNN
Last Name:SCHOTTMILLER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 N CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-2004
Mailing Address - Country:US
Mailing Address - Phone:267-380-0821
Mailing Address - Fax:
Practice Address - Street 1:213 N CONGRESS ST
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-2004
Practice Address - Country:US
Practice Address - Phone:215-485-1190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-11
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist