Provider Demographics
NPI:1245437565
Name:SCHMITZ, WILLIAM MARTIN JR (PSYD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MARTIN
Last Name:SCHMITZ
Suffix:JR
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7968 ESSEN PARK AVE
Mailing Address - Street 2:MENTAL HEALTH
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-7439
Mailing Address - Country:US
Mailing Address - Phone:225-761-3454
Mailing Address - Fax:
Practice Address - Street 1:7968 ESSEN PARK AVE
Practice Address - Street 2:MENTAL HEALTH
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-7439
Practice Address - Country:US
Practice Address - Phone:225-761-3454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1059103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist