Healthcare Provider Details

I. General information

NPI: 1255745147
Provider Name (Legal Business Name): JANELL SCHULZ PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2014
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 E 71ST ST STE A
TULSA OK
74136-5577
US

IV. Provider business mailing address

2530 E 71ST ST STE A
TULSA OK
74136-5577
US

V. Phone/Fax

Practice location:
  • Phone: 918-271-5778
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number1396
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: