Provider Demographics
NPI:1841969128
Name:SCHATZEL, CAROLYN ROSE (LMT)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:ROSE
Last Name:SCHATZEL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 CODMAN HILL AVE
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-4615
Mailing Address - Country:US
Mailing Address - Phone:774-284-0145
Mailing Address - Fax:
Practice Address - Street 1:43 CODMAN HILL AVE
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02124-4615
Practice Address - Country:US
Practice Address - Phone:774-284-0145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health