Provider Demographics
NPI:1639475973
Name:SCHMIDT, ERIC ALEXANDER (PHD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ALEXANDER
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 OILFIELD RD
Mailing Address - Street 2:
Mailing Address - City:KINGSBURY
Mailing Address - State:TX
Mailing Address - Zip Code:78638-2308
Mailing Address - Country:US
Mailing Address - Phone:512-796-5419
Mailing Address - Fax:
Practice Address - Street 1:1321 OILFIELD RD
Practice Address - Street 2:
Practice Address - City:KINGSBURY
Practice Address - State:TX
Practice Address - Zip Code:78638-2308
Practice Address - Country:US
Practice Address - Phone:512-796-5419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14168101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional