1144368424

Everything you always wanted to know about SCHMIDT R JEROME PH. D. but were afraid to ask.

SCHMIDT R JEROME PH. D.

You can also download the this 1144368424 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
SCHMIDT R JEROME PH. D.
Gender:
Male
Enumeration date:
2007-02-01
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
102L00000X Psychoanalyst TX 22255

Phone Numbers

Type Number
Mailing Address Telephone Number 5124425002
Practice Location Address Telephone Number 5124425002
Mailing Address Fax Number 5124452035
Practice Location Address Fax Number 5124452035

Addresses

Type Address City State Postal Country
Mailing Address 611 S CONGRESS AVE SUITE 215 D AUSTIN TX 78704 TX
Practice Location Address 611 S CONGRESS AVE SUITE 215 D AUSTIN TX 78704 TX

Other NPI Records that share an address

NPI Name Address State City
1073703203 DAVIS, PHILLIP
Individual
611 S CONGRESS AVE TX AUSTIN
1316097231 ZYMOWSKI, ROBYN
Individual
611 S CONGRESS AVE TX AUSTIN