Doctor Name: | MICKI M SCHMIDT |
NPI Number: | 1366655706 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | PPP #289 |
Business Practice Address: | 121 S 4th St Thermopolis, WY - 824432634 |
Business Phone Number: | 3078643138 |
Business Fax Number: | 3078643139 |
Mailing Address: | 121 S 4th St, THERMOPOLIS |
State: | WY |
Postal Code: | 824432634 |
Phone Number: | 3078643138 |
Fax Number: | 3078643139 |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PPP #289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |