Provider Demographics
NPI:1437379427
Name:SCHMIDT, JUDY (MA, MFT)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4529 ANGELES CREST HWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LA CANADA
Mailing Address - State:CA
Mailing Address - Zip Code:91011-3247
Mailing Address - Country:US
Mailing Address - Phone:818-490-4581
Mailing Address - Fax:
Practice Address - Street 1:4529 ANGELES CREST HWY
Practice Address - Street 2:SUITE 202
Practice Address - City:LA CANADA
Practice Address - State:CA
Practice Address - Zip Code:91011-3247
Practice Address - Country:US
Practice Address - Phone:818-490-4581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 39155106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist