Healthcare Provider Details

I. General information

NPI: 1780805531
Provider Name (Legal Business Name): M CHRISTINE SCHULTZ M.S., L.C.M.F.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8830 CAMERON COURT SUITE 101
SILVER SPRING MD
20910
US

IV. Provider business mailing address

6 LAZY HOLLOW WAY
GAITHERSBURG MD
20878
US

V. Phone/Fax

Practice location:
  • Phone: 301-787-2416
  • Fax: 301-565-3332
Mailing address:
  • Phone: 301-840-1283
  • Fax: 301-258-2902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLCM153
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: