Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 2866-057 | WI |
NPI | 1033207386 |
---|---|
Provider Name | Dr. Caroline G Schmidt |
First Address | Glendale, WI 53217-4929 |
Second Address | Glendale, WI 53217-4929 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 31/03/2011 |