Provider Demographics
NPI:1992855530
Name:SCHMIDT, WILLIAM (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8726 SUMMIT PINES DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2308
Mailing Address - Country:US
Mailing Address - Phone:281-812-1258
Mailing Address - Fax:
Practice Address - Street 1:514 1ST ST E
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4605
Practice Address - Country:US
Practice Address - Phone:281-359-8998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11940103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling