Provider Demographics
NPI:1275708901
Name:SCHMIDT, JANICE VICTORIA (RN, MFT)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:VICTORIA
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:RN, MFT
Other - Prefix:MRS
Other - First Name:VICKI
Other - Middle Name:
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, MFT
Mailing Address - Street 1:15837 ECCLES ST
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-6318
Mailing Address - Country:US
Mailing Address - Phone:818-893-4084
Mailing Address - Fax:818-893-4084
Practice Address - Street 1:9659 BALBOA BLVD
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-1902
Practice Address - Country:US
Practice Address - Phone:818-893-4084
Practice Address - Fax:818-893-4084
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 31400106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist