Provider Demographics
NPI:1770611410
Name:SCHMITZ, NANCY L
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:L
Last Name:SCHMITZ
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 1:18185 WILLIAMSBURG OVAL
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-7091
Mailing Address - Country:US
Mailing Address - Phone:440-846-1909
Mailing Address - Fax:
Practice Address - Street 1:202 EAST BAGLEY ROAD
Practice Address - Street 2:BEREA CHILDREN'S HOME AND FAMILY SERVICES
Practice Address - City:BEREA
Practice Address - State:OH
Practice Address - Zip Code:44017
Practice Address - Country:US
Practice Address - Phone:440-260-8300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP457103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool