Healthcare Provider Details
I. General information
NPI: 1053669341
Provider Name (Legal Business Name): JOYCE SCHMIDT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/17/2012
Last Update Date: 08/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 NEW SALEM RD SUITE 116
UNIONTOWN PA
15401-8936
US
IV. Provider business mailing address
100 NEW SALEM RD SUITE 116
UNIONTOWN PA
15401-8936
US
V. Phone/Fax
- Phone: 724-437-0729
- Fax: 724-439-2779
- Phone: 724-437-0729
- Fax: 724-439-2779
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: