Provider Demographics
NPI:1982444006
Name:SCHORR, SYDNEY M (LMHC)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:M
Last Name:SCHORR
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SIGGI
Other - Middle Name:
Other - Last Name:SCHORR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:40 SPRING ST STE 215
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-3474
Mailing Address - Country:US
Mailing Address - Phone:617-299-9956
Mailing Address - Fax:
Practice Address - Street 1:40 SPRING ST STE 215
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-3474
Practice Address - Country:US
Practice Address - Phone:617-299-9956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA864101200000X
MALMHC10001547101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101200000XBehavioral Health & Social Service ProvidersDrama Therapist