Provider Demographics
NPI:1578012019
Name:SCHMITZ, ANJA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANJA
Middle Name:
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 MARKET ST STE 351
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3030
Mailing Address - Country:US
Mailing Address - Phone:415-712-9185
Mailing Address - Fax:415-944-3770
Practice Address - Street 1:870 MARKET ST STE 351
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3030
Practice Address - Country:US
Practice Address - Phone:415-712-9185
Practice Address - Fax:415-944-3770
Is Sole Proprietor?:No
Enumeration Date:2016-09-26
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30074103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical