MEDICARE: DR. ROSALIND ANN SCHMUTTE PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	20041853A	IN

General Provider Information

NPI Number	:	1821074394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSALIND ANN SCHMUTTE PSY.D.

Provider Business Mailing Address
First Line	:	3901 W 86TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-5734
Country	:	US
Telephone Number	:	317-876-0916
Fax Number	:	317-876-0917

Provider Business Practice Location Address
First Line	:	3901 W 86TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-5734
Country	:	US
Telephone Number	:	317-876-0916
Fax Number	:	317-876-0917

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	07/08/2007

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