Provider Demographics
NPI:1710096466
Name:SCHMAUCH, JAY D
Entity Type:Individual
Prefix:
First Name:JAY
Middle Name:D
Last Name:SCHMAUCH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5915 S REGAL ST STE 311
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-6971
Mailing Address - Country:US
Mailing Address - Phone:509-960-7287
Mailing Address - Fax:509-321-7065
Practice Address - Street 1:5915 S REGAL ST STE 311
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-6971
Practice Address - Country:US
Practice Address - Phone:509-960-7287
Practice Address - Fax:509-321-7065
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP000011812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry