Provider Demographics
NPI:1609913110
Name:SCHMITT, RICHARD CLARK (CLINICAL PSYCHOLOGIS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:CLARK
Last Name:SCHMITT
Suffix:
Gender:M
Credentials:CLINICAL PSYCHOLOGIS
Other - Prefix:
Other - First Name:RICHARD
Other - Middle Name:C
Other - Last Name:SCHMITT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:2106 W. PIONEER PKWY SUITE 125
Mailing Address - Street 2:
Mailing Address - City:PANTEGO
Mailing Address - State:TX
Mailing Address - Zip Code:76013-6049
Mailing Address - Country:US
Mailing Address - Phone:817-429-7546
Mailing Address - Fax:817-275-7434
Practice Address - Street 1:2106 W. PIONEER PKWY SUITE 125
Practice Address - Street 2:
Practice Address - City:PANTEGO
Practice Address - State:TX
Practice Address - Zip Code:76013-6049
Practice Address - Country:US
Practice Address - Phone:817-429-7546
Practice Address - Fax:817-275-7434
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20781103TC0700X
TX20871103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical