Provider Demographics
NPI:1891362430
Name:SCHMIDT, STEVEN
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:SCHMIDT
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 1:12467 WINTERSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:PA
Mailing Address - Zip Code:17322-8407
Mailing Address - Country:US
Mailing Address - Phone:717-578-3909
Mailing Address - Fax:
Practice Address - Street 1:12467 WINTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:FELTON
Practice Address - State:PA
Practice Address - Zip Code:17322-8407
Practice Address - Country:US
Practice Address - Phone:717-578-3909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional