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Individual

DR. EDWARD PHILLIP SCHMITT JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1362 BALDWIN ST, JENISON, MI 49428-8937
(616) 901-3696
Mailing address
1551 CAPRICE DR, JENISON, MI 49428-9582
(616) 901-3696

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006888
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
680G011630
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/12/2006
Last updated
05/21/2024
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