Provider Demographics
NPI:1164214615
Name:SCHULTZ, ELIANA BETH (MA)
Entity type:Individual
Prefix:
First Name:ELIANA
Middle Name:BETH
Last Name:SCHULTZ
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 1:246 WALNUT ST LOWR LEVELB
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02460-1689
Mailing Address - Country:US
Mailing Address - Phone:781-307-0098
Mailing Address - Fax:
Practice Address - Street 1:246 WALNUT ST LOWR LEVELB
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02460-1689
Practice Address - Country:US
Practice Address - Phone:781-307-0098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health