Provider Demographics
NPI:1073818472
Name:SCHMIDT, G MICHAEL (PHD)
Entity Type:Individual
Prefix:DR
First Name:G
Middle Name:MICHAEL
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:G
Other - Middle Name:MICHAEL
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:719 SAWDUST RD
Mailing Address - Street 2:100
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2910
Mailing Address - Country:US
Mailing Address - Phone:281-787-8999
Mailing Address - Fax:
Practice Address - Street 1:719 SAWDUST RD
Practice Address - Street 2:100
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2910
Practice Address - Country:US
Practice Address - Phone:281-787-8999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral