Provider Demographics
NPI:1497897318
Name:SCHIMMEL, DONALD M (PHD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:M
Last Name:SCHIMMEL
Suffix:
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 1:24001-56TH AVE. W
Mailing Address - Street 2:UNIT D404
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-5558
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24001-56TH AVE. W
Practice Address - Street 2:UNIT D404
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-5558
Practice Address - Country:US
Practice Address - Phone:425-775-2205
Practice Address - Fax:425-775-6521
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1402103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist