Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 071008517 | IL |
Y | 103TC0700X | Clinical Psychologist | 071008517 | IL |
NPI | 1003366030 |
---|---|
Provider Name | Dr. Megan Schmitz |
First Address | Geneva, IL 60134-2644 |
Second Address | Geneva, IL 60134-2644 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2016 |
Last Update Date | 17/10/2021 |