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Individual

DR. MARK SCHMIDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
6308 FERNCREEK LN, FORT WORTH, TX 76179-4701
(817) 368-9799
Mailing address
PO BOX 136156, FORT WORTH, TX 76136-0156
(817) 368-9799

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32937
TX

Other

Enumeration date
06/03/2014
Last updated
06/03/2014
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