Provider Demographics
NPI:1336546159
Name:SCHMIDT, TARA
Entity Type:Individual
Prefix:
First Name:TARA
Middle Name:
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47090 BECKY CIR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:CO
Mailing Address - Zip Code:80107-9525
Mailing Address - Country:US
Mailing Address - Phone:720-234-6292
Mailing Address - Fax:
Practice Address - Street 1:12900 STROH RANCH PL UNIT 215
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7401
Practice Address - Country:US
Practice Address - Phone:720-515-1568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-21
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist