Provider Demographics
NPI:1114494333
Name:SCHMIDT, LINDA M (HIS)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 BRYANT DR
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-8058
Mailing Address - Country:US
Mailing Address - Phone:859-553-7002
Mailing Address - Fax:
Practice Address - Street 1:103 BRYANT DR
Practice Address - Street 2:
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-8058
Practice Address - Country:US
Practice Address - Phone:859-553-7002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY101852237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist