Provider Demographics
NPI:1265033401
Name:SCHMIDT, SCOTT A (MFT)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:A
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 512
Mailing Address - Street 2:
Mailing Address - City:MYERSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17067-0512
Mailing Address - Country:US
Mailing Address - Phone:717-376-3075
Mailing Address - Fax:
Practice Address - Street 1:39 W MAIN AVENUE
Practice Address - Street 2:
Practice Address - City:MYERSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17067
Practice Address - Country:US
Practice Address - Phone:717-376-3075
Practice Address - Fax:844-252-3899
Is Sole Proprietor?:No
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist