Provider Demographics
NPI:1538396395
Name:SCHMIDT, PAUL F II (PHD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:F
Last Name:SCHMIDT
Suffix:II
Gender:M
Credentials:PHD
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Other - First Name:
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Mailing Address - Street 1:115 N WATTERSON TRL
Mailing Address - Street 2:#101
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40243-1351
Mailing Address - Country:US
Mailing Address - Phone:502-244-4407
Mailing Address - Fax:502-244-9743
Practice Address - Street 1:115 N WATTERSON TRL
Practice Address - Street 2:#101
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-1351
Practice Address - Country:US
Practice Address - Phone:502-244-4407
Practice Address - Fax:502-244-9743
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY252103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical