Provider Demographics
NPI:1710495999
Name:SCHMIDT, DAWN SUZAN
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:SUZAN
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 SHERIDAN LAKE RD
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-5350
Mailing Address - Country:US
Mailing Address - Phone:605-791-6700
Mailing Address - Fax:605-343-7293
Practice Address - Street 1:2920 SHERIDAN LAKE RD
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-5350
Practice Address - Country:US
Practice Address - Phone:605-791-6700
Practice Address - Fax:605-343-7293
Is Sole Proprietor?:No
Enumeration Date:2018-01-22
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)