Provider Demographics
NPI:1740241132
Name:SCHMALZ, TAMMERA ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:TAMMERA
Middle Name:ANN
Last Name:SCHMALZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 HOSPITAL RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-4015
Mailing Address - Country:US
Mailing Address - Phone:410-535-2500
Mailing Address - Fax:410-535-6030
Practice Address - Street 1:130 HOSPITAL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-4015
Practice Address - Country:US
Practice Address - Phone:410-535-2500
Practice Address - Fax:410-535-6030
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03373103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD833100600Medicaid
MD833100600Medicaid
MDS44810Medicare UPIN