Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist | APP-000460103 | OH |
NPI | 1013580794 |
---|---|
Provider Name | Dr. Katlin Rose Schultz |
First Address | Long Beach, CA 90804-6478 |
Second Address | Columbus, OH 43210-1229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2021 |
Last Update Date | 21/07/2021 |