Provider Demographics
NPI:1669672291
Name:SCHMITZ, CHERYL ANN (MFT)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:ANN
Last Name:SCHMITZ
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 1:9820 WILLOW CREEK RD
Mailing Address - Street 2:SUITE 243
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-1112
Mailing Address - Country:US
Mailing Address - Phone:858-204-0937
Mailing Address - Fax:858-484-1848
Practice Address - Street 1:9820 WILLOW CREEK RD
Practice Address - Street 2:SUITE 243
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-1112
Practice Address - Country:US
Practice Address - Phone:858-204-0937
Practice Address - Fax:858-484-1848
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-22
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC42391106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist