Doctor Name: | MRS. PATRICIA PORTO SCHMIDT |
NPI Number: | 1013982537 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. A. |
License Number: | MH3723 |
Business Practice Address: | 5100 78th Ave Suite 7 Pinellas Park, FL - 337812407 |
Business Phone Number: | 7275860636 |
Business Fax Number: | 7275856287 |
Mailing Address: | 7200 18th St Ne, SAINT PETERSBURG |
State: | FL |
Postal Code: | 337024757 |
Phone Number: | 7275273498 |
Fax Number: | 7275264487 |
NPI Enumeration Date: | 02/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH3723 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |