Provider Demographics
NPI:1336263003
Name:SCHOTT, EDWARD FRANZ (LMHC, PHD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:FRANZ
Last Name:SCHOTT
Suffix:
Gender:M
Credentials:LMHC, PHD
Other - Prefix:DR
Other - First Name:EDWARD
Other - Middle Name:FRANZ
Other - Last Name:PACE-SCHOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:401 COLONIAL DR UNIT 9
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-1666
Mailing Address - Country:US
Mailing Address - Phone:978-356-3575
Mailing Address - Fax:
Practice Address - Street 1:25R MARKET ST
Practice Address - Street 2:
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938-2211
Practice Address - Country:US
Practice Address - Phone:978-356-1776
Practice Address - Fax:978-356-2822
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4058101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health