Provider Demographics
NPI:1003288028
Name:SCHMIDT, KRISTIN MARIE (AUD)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:MARIE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:KRISTIN
Other - Middle Name:MARIE
Other - Last Name:HORAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:4601 HERITAGE TRACE PKWY
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-8905
Mailing Address - Country:US
Mailing Address - Phone:817-431-7985
Mailing Address - Fax:817-431-5031
Practice Address - Street 1:4601 HERITAGE TRACE PKWY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244
Practice Address - Country:US
Practice Address - Phone:817-431-7985
Practice Address - Fax:817-431-5031
Is Sole Proprietor?:No
Enumeration Date:2015-10-29
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80798231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist