Doctor Name: | MR. ROBERT W SCHMIDT |
NPI Number: | 1457692063 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 000955 |
Business Practice Address: | 11 Serenity Ln Sandy Hook, CT - 064821630 |
Business Phone Number: | 2037882821 |
Business Fax Number: | |
Mailing Address: | 11 Serenity Ln, SANDY HOOK |
State: | CT |
Postal Code: | 064821630 |
Phone Number: | 2037882821 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2013 |
NPI Last Update Date: | 03/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 000955 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |