Individual
MARY K. SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
126 E ALCOTT AVE, FERGUS FALLS, MN 56537-2903
(218) 736-6987
(218) 736-6980
Mailing address
321 W VERNON AVE, FERGUS FALLS, MN 56537-2625
(218) 736-6987
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0850
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010531
PREFERREDONE
MN
01
—
116407
UCARE MINNESOTA
MN
01
—
61-20354
UNITED BEHAVIORAL HEALTH
MN
01
—
61813SC
BLUE SHIELD OF MINNESOTA
FM
05
—
914750100
—
MN
01
—
HP23071
HEALTHPARTNERS
MN
Enumeration date
07/06/2006
Last updated
09/11/2008
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