Healthcare Provider Details

I. General information

NPI: 1720249659
Provider Name (Legal Business Name): MARTA H. SCHMAL M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2008
Last Update Date: 09/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 JUDAH ST SUITE 5
ROSEVILLE CA
95678-2651
US

IV. Provider business mailing address

313 JUDAH ST SUITE 5
ROSEVILLE CA
95678-2651
US

V. Phone/Fax

Practice location:
  • Phone: 916-595-3047
  • Fax:
Mailing address:
  • Phone: 916-595-3047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: