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Individual

LAWRENCE G SCHMIDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
2075 W BIG BEAVER RD, 520, TROY, MI 48084
(248) 646-6659
(248) 642-8645
Mailing address
3100 E OAKWOOD RD, OXFORD, MI 48370-1014
(248) 969-9399

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012474
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1922012400
GROUP NPI
MI
Enumeration date
05/02/2007
Last updated
01/17/2008
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