Provider Demographics
NPI:1013982537
Name:SCHMIDT, PATRICIA PORTO (M A)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:PORTO
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:M A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 18TH ST NE
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-4757
Mailing Address - Country:US
Mailing Address - Phone:727-527-3498
Mailing Address - Fax:727-526-4487
Practice Address - Street 1:5100 78TH AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-2407
Practice Address - Country:US
Practice Address - Phone:727-586-0636
Practice Address - Fax:727-585-6287
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3723101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health