Individual
CYNTHIA SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4700 LAS VEGAS BLVD N, ATTN: CREDENTIALS OFFICE, NELLIS AFB, NV 89191-6600
(702) 653-3067
(701) 653-3398
Mailing address
4700 LAS VEGAS BLVD N, ATTN: CREDENTIALS OFFICE, NELLIS AFB, NV 89191-6600
(702) 653-3067
(701) 653-3398
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0528
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100511224
—
NV
01
—
CQ435Z
MEDICARE PTAN
NV
Enumeration date
12/11/2006
Last updated
01/07/2014
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