Doctor Name: | CYNTHIA SCHMIDT |
NPI Number: | 1003976978 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PY0528 |
Business Practice Address: | 4700 Las Vegas Blvd N Attn: Credentials Office Nellis Afb, NV - 891916600 |
Business Phone Number: | 7026533067 |
Business Fax Number: | 7016533398 |
Mailing Address: | 4700 Las Vegas Blvd N, Attn: Credentials Office NELLIS AFB |
State: | NV |
Postal Code: | 891916600 |
Phone Number: | 7026533067 |
Fax Number: | 7016533398 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 01/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY0528 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |