Healthcare Provider Details

I. General information

NPI: 1912174806
Provider Name (Legal Business Name): RONALEE SCHMIDT M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2008
Last Update Date: 05/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1182 N SONOITA AVE
TUCSON AZ
85712-5170
US

IV. Provider business mailing address

1182 N SONOITA AVE
TUCSON AZ
85712-5170
US

V. Phone/Fax

Practice location:
  • Phone: 520-971-2946
  • Fax:
Mailing address:
  • Phone: 520-971-2946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT 10058
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: