Provider Demographics
NPI:1821074394
Name:SCHMUTTE, ROSALIND ANN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROSALIND
Middle Name:ANN
Last Name:SCHMUTTE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 W 86TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-5734
Mailing Address - Country:US
Mailing Address - Phone:317-876-0916
Mailing Address - Fax:317-876-0917
Practice Address - Street 1:3901 W 86TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-5734
Practice Address - Country:US
Practice Address - Phone:317-876-0916
Practice Address - Fax:317-876-0917
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20041853A103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical