Provider Demographics
NPI:1518981414
Name:SCHMIDT, REGINA KATHARINA (MFT)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:KATHARINA
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 PETERS AVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-6677
Mailing Address - Country:US
Mailing Address - Phone:925-640-2922
Mailing Address - Fax:925-461-3066
Practice Address - Street 1:555 PETERS AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6677
Practice Address - Country:US
Practice Address - Phone:925-640-2922
Practice Address - Fax:925-461-3066
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC36725106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist