Provider Demographics
NPI:1306890413
Name:SCHMITZ, LINDA (MA)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 SOUTHWIND WAY
Mailing Address - Street 2:
Mailing Address - City:DRESHER
Mailing Address - State:PA
Mailing Address - Zip Code:19025-1025
Mailing Address - Country:US
Mailing Address - Phone:215-641-9348
Mailing Address - Fax:
Practice Address - Street 1:1415 SOUTHWIND WAY
Practice Address - Street 2:
Practice Address - City:DRESHER
Practice Address - State:PA
Practice Address - Zip Code:19025-1025
Practice Address - Country:US
Practice Address - Phone:215-641-9348
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005942L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist