Provider Demographics
NPI:1497389837
Name:SCHECHTER, CHLOE
Entity type:Individual
Prefix:MRS
First Name:CHLOE
Middle Name:
Last Name:SCHECHTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16175 PORT OF NANTUCKET DR
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63040-1534
Mailing Address - Country:US
Mailing Address - Phone:618-670-8978
Mailing Address - Fax:
Practice Address - Street 1:12125 WOODCREST EXECUTIVE DR STE 110
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-5009
Practice Address - Country:US
Practice Address - Phone:314-275-8599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-25
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20200102871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical