Provider Demographics
NPI:1811153539
Name:SCHMIDT, MEGAN AMBER (PSYD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:AMBER
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1311
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:WA
Mailing Address - Zip Code:98862-3004
Mailing Address - Country:US
Mailing Address - Phone:509-996-3810
Mailing Address - Fax:509-996-3810
Practice Address - Street 1:134 RIVERSIDE AVENUE
Practice Address - Street 2:APARTMENT H
Practice Address - City:WINTHROP
Practice Address - State:WA
Practice Address - Zip Code:98862
Practice Address - Country:US
Practice Address - Phone:509-996-3810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY 3193103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
G8878272Medicare PIN