MEDICARE: DR. MICHELLE SCHULTZ PHD LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY29310	CA

General Provider Information

NPI Number	:	1376390724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE SCHULTZ PHD LP

Provider Business Mailing Address
First Line	:	5062 LANKERSHIM BLVD # 5082
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-4225
Country	:	US
Telephone Number	:	747-248-0024
Fax Number	:

Provider Business Practice Location Address
First Line	:	20720 VENTURA BLVD STE 210
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-6264
Country	:	US
Telephone Number	:	747-248-0024
Fax Number	:	818-587-3353

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2024
Last Update Date	:	05/16/2026

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