Healthcare Provider Details

I. General information

NPI: 1902714876
Provider Name (Legal Business Name): MADISON ELIZABETH SCHULTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 COLLEGE PARK DR STE 203
DOVER DE
19904-8727
US

IV. Provider business mailing address

1816 LAKE SEYMOUR DR
MIDDLETOWN DE
19709-4685
US

V. Phone/Fax

Practice location:
  • Phone: 302-387-1407
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberO4-0010958
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: