Provider Demographics
NPI:1215087077
Name:SCHMIDT, KATHERINE ANN (LPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ANN
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3821 WOODSHADOW RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-3046
Mailing Address - Country:US
Mailing Address - Phone:405-848-7322
Mailing Address - Fax:
Practice Address - Street 1:5900 W HEFNER RD # S
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-4905
Practice Address - Country:US
Practice Address - Phone:405-848-7322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1474101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional