Provider Demographics
NPI:1518574003
Name:SCHMITT, CLOVER LORENA (MSED)
Entity Type:Individual
Prefix:DR
First Name:CLOVER
Middle Name:LORENA
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W23894 SWARTLING RD
Mailing Address - Street 2:
Mailing Address - City:TREMPEALEAU
Mailing Address - State:WI
Mailing Address - Zip Code:54661-6229
Mailing Address - Country:US
Mailing Address - Phone:715-506-0141
Mailing Address - Fax:
Practice Address - Street 1:W23894 SWARTLING RD
Practice Address - Street 2:
Practice Address - City:TREMPEALEAU
Practice Address - State:WI
Practice Address - Zip Code:54661-6229
Practice Address - Country:US
Practice Address - Phone:715-506-0141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3590001940103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool