Individual
MR. PHILIP SCOTT SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., L.M.H.C.
Contact information
Practice address
16. S.E. 18TH STREET, FORT LAUDERDALE, FL 33316-0000
(954) 462-5353
(954) 462-5393
Mailing address
1716 N.E. 16TH AVENUE, FORT LAUDERDALE, FL 33305-0000
(954) 462-5353
(954) 462-5393
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
MH3131
FL
103TP2701X
Group Psychotherapy Psychologist
Primary
MH3131
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768562900
—
FL
Enumeration date
03/27/2006
Last updated
12/24/2009
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