Provider Demographics
NPI:1851087852
Name:KLEINSCHMIDT, ARTHUR III (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:KLEINSCHMIDT
Suffix:III
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 N GLEBE RD APT 211
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-4443
Mailing Address - Country:US
Mailing Address - Phone:970-366-6771
Mailing Address - Fax:
Practice Address - Street 1:750 N GLEBE RD APT 211
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-4443
Practice Address - Country:US
Practice Address - Phone:970-366-6771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO655101YA0400X
CO13113101YM0800X
VA0701012369101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)