Healthcare Provider Details

I. General information

NPI: 1740641042
Provider Name (Legal Business Name): KATHLEEN WEYER SCHOULTZ CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATIE SCHOULTZ

II. Dates (important events)

Enumeration Date: 03/14/2016
Last Update Date: 08/14/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3936 SPENCER AVE
NORWOOD OH
45212-3836
US

IV. Provider business mailing address

3936 SPENCER AVE
NORWOOD OH
45212-3836
US

V. Phone/Fax

Practice location:
  • Phone: 513-236-3206
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number142160894
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP.15527
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: