| Doctor Name: | DIANE JORGENSEN SCHMIDT |
| NPI Number: | 1245271956 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 072659 |
| Business Practice Address: | 106 S Perry St Ste 4 Watkins Glen, NY - 148911615 |
| Business Phone Number: | 6075358282 |
| Business Fax Number: | 6075358284 |
| Mailing Address: | 44 Wedgewood Dr, ITHACA |
| State: | NY |
| Postal Code: | 148501063 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 072659 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |